Kelly Danielle Friday, CATC; 112519

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CATC 112519 Issued in CA

Practice address

235 W 9TH St
San Pedro, CA 90731-3711

Phone

(310) 521-9209

Fax

(310) 521-9241

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kellyfriday-houseofhopesp@lacsapc.netsmartdirect.net

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

• Los Angeles County Department of Public Health

  • Public Health or Welfare Agency
  • Alhambra, CA
  • NPI 1700090834
  NPD
• House of Hope Foundation Inc

  • Substance Abuse Rehabilitation Facility
  • San Pedro, CA
  • NPI 1043829971
  NPD (past)

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1790136364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 S MEYLER ST",
            "address_2": "APT 1",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314649",
            "telephone_number": "310-831-9411",
            "fax_number": "310-521-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313711",
            "telephone_number": "310-521-9209",
            "fax_number": "310-521-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "KELLY",
        "middle_name": "DANIELLE",
        "credential": "CATC; 112519",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CATC 112519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Brown'S Recovery Services, Inc.
• Fred Brown'S Recovery Services, Inc.
• James H French Jr., M.D.
• Sean French, DPT
• Tattyanna Frescas
• Juana Friere
• Darrell Fuller, PHARMD
• Keith Fung, PHARM.D.
• John J Furesh, DDS
• Katherine Geraldy Galindo

• Addiction (Substance Use Disorder) Counselor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.