Active NPI
Andrew Barker
- Addiction (Substance Use Disorder) Counselor
- Montclair, CA
National Provider Identifier
1790167229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6048-R
- Practice address
- 10014 Ramona Ave
Montclair, CA 91763-3039 - Phone
- (909) 368-8849
- NPI assigned
- Jun 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 6048-R | CA | Primary |
Addresses
Primary practice location
10014 Ramona Ave
Montclair, CA 91763-3039
Mailing address
10014 Ramona Ave
Montclair, CA 91763-3039
Phone (909) 368-8849
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6048-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434844800000",
"number": "1790167229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 RAMONA AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917633039",
"telephone_number": "909-368-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10014 RAMONA AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917633039",
"telephone_number": "909-368-8849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-21",
"last_updated": "2015-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "6048-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.