Individual provider Active NPI

Sherrie Grizzelle

  • Addiction (Substance Use Disorder) Counselor
  • Upland, CA
National Provider Identifier
1871048900
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17044 Issued in CA
Practice address
934 N Mountain Ave Ste a-D
Upland, CA 91786-3659
Phone
(909) 949-4667
Fax
(909) 931-3774
NPI assigned
Aug 18, 2016
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 17044 CA Primary

Addresses

Primary practice location

934 N Mountain Ave Ste a-D
Upland, CA 91786-3659

Mailing address

934 N Mountain Ave Ste a-D
Upland, CA 91786-3659
Phone (909) 949-4667

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Valley Drug and Alcohol Recovery Services PastSince Sep 28, 2025 Accepting new patients
Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1871048900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 N MOUNTAIN AVE STE A-D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863659",
            "telephone_number": "909-949-4667",
            "fax_number": "909-931-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 N MOUNTAIN AVE STE A-D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863659",
            "telephone_number": "909-949-4667",
            "fax_number": "909-931-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZELLE",
        "first_name": "SHERRIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "17044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.