Alissa Leigh Pavelka, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1620700725 Issued in CA

Practice address

2579 Old Quarry Rd Apt 2335
San Diego, CA 92108-2788

Phone

(402) 804-9058

NPI assigned

Aug 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1932086451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 OLD QUARRY RD APT 2335",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082788",
            "telephone_number": "402-804-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 OLD QUARRY RD APT 2335",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082788",
            "telephone_number": "402-804-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELKA",
        "first_name": "ALISSA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "RADT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1620700725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Pauly, LPCC, LMHC
• Desiree Marie-Belle Paus, L.AC, HHP, MS, AS
• Lucy Frances Jeansonne Pauseback, L.AC., C.M.T.
• Sarah Marie Pauter
• Frank L Pavel, D.M.D.
• Tanner Pavelka, NP
• Dianne Christine Sison Pavia, RN
• Sophia Pavia
• Austin Pavin
• Anthony Pavlacka, BCBA

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.