Active NPI
Nichole Darby Foster, BA, CADC I
- Addiction (Substance Use Disorder) Counselor
- Indio, CA
National Provider Identifier
1790245652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CI20961018
- Practice address
- 44359 Palm St
Indio, CA 92201-3116 - Phone
- (760) 342-6616
- Fax
- (760) 775-7887
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- 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 | CI20961018 | CA | Primary |
Addresses
Primary practice location
44359 Palm St
Indio, CA 92201-3116
Mailing address
44359 Palm St
Indio, CA 92201-3116
Phone (760) 342-6616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881788503 | Medicaid | CA |
Other names 1
- Mrs. Nichole Darby Driscoll
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddriscoll@abcrecoverycenter.org | Direct |
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI20961018 | 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": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1790245652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44359 PALM ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922013116",
"telephone_number": "760-342-6616",
"fax_number": "760-775-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44359 PALM ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922013116",
"telephone_number": "760-342-6616",
"fax_number": "760-775-7887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "NICHOLE",
"middle_name": "DARBY",
"name_prefix": "Mrs.",
"credential": "BA, CADC I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI20961018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881788503",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddriscoll@abcrecoverycenter.org",
"affiliation": "N",
"endpointDescription": "e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "44359 Palm St",
"city": "Indio",
"state": "CA",
"country_code": "US",
"postal_code": "922013116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICHOLE",
"last_name": "DRISCOLL",
"middle_name": "DARBY",
"prefix": "MRS.",
"credential": "BA, CADC I",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.