Individual provider Active NPI

June Ellen Reiersen, RADT

  • Addiction (Substance Use Disorder) Counselor
  • Grass Valley, CA
National Provider Identifier
1841662939
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
256 Buena Vista St
100
Grass Valley, CA 95945-7239
Phone
(530) 274-2000
Fax
(530) 274-2116
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CA Primary

Addresses

Primary practice location

256 Buena Vista St
100
Grass Valley, CA 95945-7239

Mailing address

256 Buena Vista St
100
Grass Valley, CA 95945-7239
Phone (530) 274-2000

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1841662939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BUENA VISTA ST",
            "address_2": "100",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457239",
            "telephone_number": "530-274-2000",
            "fax_number": "530-274-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BUENA VISTA ST",
            "address_2": "100",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457239",
            "telephone_number": "530-274-2000",
            "fax_number": "530-274-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIERSEN",
        "first_name": "JUNE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.