Debra Wade, CADC LL

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A060641121 Issued in CA

Practice address

3525 Presley Ave
Riverside, CA 92507-4453

Phone

(951) 955-7623

Fax

(951) 955-6980

NPI assigned

Oct 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Bernardino, CA
  • NPI 1568821551
  NPD (past)

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1932651965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 NICE DRIVE",
            "address_2": "#205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "909-905-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRESLEY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074453",
            "telephone_number": "951-955-7623",
            "fax_number": "951-955-6980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2743 Orange St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925012503",
            "country_code": "US",
            "telephone_number": "951-686-0021",
            "fax_number": "951-686-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 N D St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103523",
            "country_code": "US",
            "telephone_number": "909-888-6956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4750 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014012",
            "country_code": "US",
            "telephone_number": "951-686-0021",
            "fax_number": "951-686-0021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "DEBRA",
        "credential": "CADC LL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A060641121",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "A060641121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salissa Vue
• Deanna Vuong
• Stephany Vuong
• Anuthmi Waas
• Audra Amber Wade
• Joelle Wade
• Yvette Darlene Wade
• Manvir Singh Wadhwa, MD
• Alexa Haydee Waggoner
• Margaret Waghorn, PTA (ASSOCIATES)

• Addiction (Substance Use Disorder) Counselor in Riverside, CA
• Providers in Riverside, 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 1, 2024; 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.