Individual provider Active NPI

Tonya Marie Bagley, A. A., B.A., CAS

  • Addiction (Substance Use Disorder) Counselor
  • Modesto, CA
National Provider Identifier
1942425400
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C4091214 Issued in CA
Practice address
190 E Hackett Rd
Modesto, CA 95358-9001
Phone
(209) 525-7218
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

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
Credentials
Associate of Arts, Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
C4091214CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC PastSince Jan 1, 2021 Accepting new patients
Aegis Treatment Centers, LLC PastSince Jan 1, 2021 Accepting new patients
Aegis Treatment Centers, LLC Past Accepting new patients
Aegis Treatment Centers, LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C4091214 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

190 E Hackett Rd
Modesto, CA 95358-9001

Mailing address

190 E Hackett Rd
Modesto, CA 95358-9001
Phone (209) 525-7218

Other names 1

NPPES NPI Registry
  • Ms. Tonya Marie Sneed Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2024.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1942425400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E HACKETT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589001",
            "telephone_number": "209-525-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E HACKETT RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953589001",
            "telephone_number": "209-525-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "TONYA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "A. A., B.A., CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C4091214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "SNEED",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "A. A., B.A., CAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.