Active NPI
Nancy Wilson, CADC-II
- Addiction (Substance Use Disorder) Counselor
- Costa Mesa, CA
National Provider Identifier
1851858575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A018330415
- Practice address
- 2001 Harbor Blvd Ste 200
Costa Mesa, CA 92627-8518 - Phone
- (888) 418-4188
- Fax
- (949) 209-0369
- NPI assigned
- Feb 28, 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 | A018330415 | CA | Primary |
Addresses
Primary practice location
2001 Harbor Blvd Ste 200
Costa Mesa, CA 92627-8518
Mailing address
2001 Harbor Blvd Ste 200
Costa Mesa, CA 92627-8518
Phone (888) 418-4188
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 |
|---|---|---|---|
| A018330415 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellowstone Women'S First Step House Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Costa Mesa, CA
- NPI 1023463999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1851858575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 HARBOR BLVD STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926278518",
"telephone_number": "888-418-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 HARBOR BLVD STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926278518",
"telephone_number": "888-418-4188",
"fax_number": "949-209-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "NANCY",
"credential": "CADC-II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A018330415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.