Active NPI
Dennis Kelvin Mukes
- Addiction (Substance Use Disorder) Counselor
- Vallejo, CA
National Provider Identifier
1952912628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 627 Grant St
Vallejo, CA 94590-7228 - Phone
- (707) 553-1042
- NPI assigned
- Aug 14, 2020
- Last updated
- Aug 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
Primary practice location
627 Grant St
Vallejo, CA 94590-7228
Mailing address
922 Pine St
Vallejo, CA 94590-7811
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| House of Acts | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- Vallejo, CA
- NPI 1326352188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1952912628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 PINE ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945907811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 GRANT ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945907228",
"telephone_number": "707-553-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKES",
"first_name": "DENNIS",
"middle_name": "KELVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
- MSK Solutions (Mile High Residential and Behavioral Health)
- MSK Solutions (Mile High Residential Behavior Health Services)
- Kristen Michelle Mueller, MPH, PA-C
- Homero J. Mui, MD
- Muir Beach, LLC (Vina Del Mar Assisted Living and Memory Care)
- Diparshi Mukherjee, DO
- Moneesha Rani Mukherjee, MD
- Leah Mullen
- Francis J. Muller, Jr., M.D.
- Kayla Renee Munivez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.