Individual provider Active NPI

Linda Jean Neutz, MA CATC IV/CCS 15096

  • Addiction (Substance Use Disorder) Counselor
  • Lompoc, CA
National Provider Identifier
1760686489
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CCS #15096 Issued in CA
Practice address
601 E Ocean Ave
Suite 20
Lompoc, CA 93436-6937
Phone
(805) 743-1515
Fax
(805) 819-0942
NPI assigned
Jun 14, 2007
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CCS #15096 CA Primary
Counselor 101Y00000X CATC IV 101963 CA

Addresses

Primary practice location

601 E Ocean Ave
Suite 20
Lompoc, CA 93436-6937

Mailing address

1324 Marigold Way
Lompoc, CA 93436-8204
Phone (805) 735-9465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CATC IV 101963CAMDCounselor
CCS #15096CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
E-Eshora CCC, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1760686489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 MARIGOLD WAY",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934368204",
            "telephone_number": "805-735-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E OCEAN AVE",
            "address_2": "SUITE 20",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366937",
            "telephone_number": "805-743-1515",
            "fax_number": "805-819-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUTZ",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MA CATC IV/CCS 15096",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CCS #15096",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "CATC IV 101963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.