NPIMap

Organization Active NPI

Women'S Recovery Association

  • Addiction (Substance Use Disorder) Counselor
  • Burlingame, CA
National Provider Identifier
1740525112
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
WOMEN'S RECOVERY ASSOCIATION
Practice address
1450 Chapin Ave
Burlingame, CA 94010-4062
Phone
(650) 348-6603
Fax
(650) 348-0615
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cassandra Denise Wilson, C.A.T.C.,
Title
Treatment Counselor
Phone
(650) 348-6603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1450 Chapin Ave
Burlingame, CA 94010-4062

Mailing address

1450 Chapin Ave
Burlingame, CA 94010-4062
Phone (650) 348-6603

National Provider Directory

National Provider Directory
Tax ID family
Women'S Recovery Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1740525112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHAPIN AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104062",
            "telephone_number": "650-348-6603",
            "fax_number": "650-348-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPIN AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104062",
            "telephone_number": "650-348-6603",
            "fax_number": "650-348-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S RECOVERY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "TREATMENT COUNSELOR",
        "authorized_official_telephone_number": "650-348-6603",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.A.T.C.,"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.