Active NPI
Robert Don Imes Jr., COUNSELOR I
- Addiction (Substance Use Disorder) Counselor
- Tarzana, CA
National Provider Identifier
1891470282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14431
- Practice address
- 18700 Oxnard St
Tarzana, CA 91356-1413 - Phone
- (818) 996-1051
- NPI assigned
- Jun 21, 2023
- Sex
- Male
- 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 | 14431 | CA | Primary |
Addresses
Primary practice location
18700 Oxnard St
Tarzana, CA 91356-1413
Mailing address
18540 Plummer St Apt 104
Northridge, CA 91324-2209
Phone (847) 902-3665
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 |
|---|---|---|---|
| 14431 | 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": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1891470282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18540 PLUMMER ST APT 104",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242209",
"telephone_number": "847-902-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 OXNARD ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561413",
"telephone_number": "818-996-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMES",
"first_name": "ROBERT",
"middle_name": "DON",
"name_suffix": "Jr.",
"credential": "COUNSELOR I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "14431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.