Active NPI
Holly Allen
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1780008565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 143739
- Practice address
- 1515 Palm Ave
Suite a
San Diego, CA 92154-1011 - Phone
- (619) 429-4117
- Fax
- (619) 429-4166
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 143739 | CA | Primary |
Addresses
Primary practice location
1515 Palm Ave
Suite a
San Diego, CA 92154-1011
Mailing address
1515 Palm Ave
Suite a
Imperial Beach, CA 92154
Phone (619) 429-4117
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1780008565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PALM AVE",
"address_2": "SUITE A",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "92154",
"telephone_number": "619-429-4117",
"fax_number": "619-429-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PALM AVE",
"address_2": "SUITE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921541011",
"telephone_number": "619-429-4117",
"fax_number": "619-429-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "143739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.