Dustin O Cole, RADT-1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

540031BN Issued in CA

Practice address

120 W School Ave
Visalia, CA 93291-4925

Phone

(559) 652-4100

Fax

(559) 625-1970

NPI assigned

Sep 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Central Valley Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Visalia, CA
  • NPI 1801256078
  NPD (past)

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1932758588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W SCHOOL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914925",
            "telephone_number": "559-652-4100",
            "fax_number": "559-625-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W SCHOOL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914925",
            "telephone_number": "559-652-4100",
            "fax_number": "559-625-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DUSTIN",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "RADT-1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "540031BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL ALCOHOL AND DRUG TECH -1",
            "identifier": "80480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Coelho, FNP
• Sara Jan Coffelt, M.A.-SLP
• John Michael Coffey, MD
• Anthony Lee Coggins
• Beth Coke, PH.D
• Desiray Colin
• Sarai Colin
• Ana Carolina Coll, M.D.
• Katia Margarita Collazo, NP
• Christopher Lee Collins II

• Addiction (Substance Use Disorder) Counselor in Visalia, CA
• Providers in Visalia, 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 Sep 6, 2019; 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.