Active NPI
Jeffery A Hill II, CATC #5995-R
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1861934374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5995-R
- Practice address
- 600 E 7TH St Ste 105
Los Angeles, CA 90021-1439 - Phone
- (213) 537-0110
- NPI assigned
- Nov 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5995-R | CA | Primary |
| Behavior Technician | 106S00000X | PRS0030316 | CA |
Addresses
Primary practice location
600 E 7TH St Ste 105
Los Angeles, CA 90021-1439
Mailing address
1817 E 7TH St
Long Beach, CA 90813-5102
Phone (562) 507-0526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5995-R | Other | CA | CAADE/CATC |
| PRS000030316 | Other | CA | CCAPP-INTERNATIONALLY CERTIFIED PEER RECOVERY SPECIALIST (CPRS/ICPRS) |
Other names 1
- Mr. Jeffery A Hill II
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 |
|---|---|---|---|
| 5995-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PRS0030316 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2ND Chance for Recovery | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1346589777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1861934374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 E 7TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908135102",
"telephone_number": "562-507-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E 7TH ST STE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900211439",
"telephone_number": "213-537-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JEFFERY",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "CATC #5995-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "5995-R",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "PRS0030316",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAADE/CATC",
"identifier": "5995-R",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP-INTERNATIONALLY CERTIFIED PEER RECOVERY SPECIALIST (CPRS/ICPRS)",
"identifier": "PRS000030316",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFERY",
"last_name": "HILL",
"middle_name": "A",
"prefix": "MR.",
"suffix": "II",
"credential": "ICPRS #PRS0030316",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.