Active NPI
Elizabeth Latonya Ward
- Addiction (Substance Use Disorder) Counselor
- San Jacinto, CA
National Provider Identifier
1861163859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CICA04000521
- Practice address
- 23931 Warren Rd
San Jacinto, CA 92582 - Phone
- (951) 390-2267
- Fax
- (951) 390-2267
- NPI assigned
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 | CICA04000521 | CA | Primary |
Addresses
Primary practice location
23931 Warren Rd
San Jacinto, CA 92582
Mailing address
23931 Warren Rd
San Jacinto, CA 92582
Phone (951) 390-2267
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 |
|---|---|---|---|
| CICA04000521 | 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": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1861163859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23931 WARREN RD",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "92582",
"telephone_number": "951-390-2267",
"fax_number": "951-390-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23931 WARREN RD",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "92582",
"telephone_number": "951-390-2267",
"fax_number": "951-390-2267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ELIZABETH",
"middle_name": "LATONYA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CICA04000521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.