Active NPI
Tonya Marie Bagley, A. A., B.A., CAS
- Addiction (Substance Use Disorder) Counselor
- Modesto, CA
National Provider Identifier
1942425400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C4091214
- 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.
-
- Methadone Clinic
- Manteca, CA
- NPI 1134565740
-
- Methadone Clinic
- Banning, CA
- NPI 1376293407
-
- Methadone Clinic
- Canoga Park, CA
- NPI 1831601764
-
- Methadone Clinic
- Ceres, CA
- NPI 1932759289
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
| License | State | Type | Specialty |
|---|---|---|---|
| C4091214 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past | Accepting new patients | |
| Aegis Treatment Centers, LLC | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C4091214 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.