Alisa Diane Etchells, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1543620124 Issued in CA

Practice address

1001 Tower Way Ste 140
Bakersfield, CA 93309-1586

Phone

(661) 634-9877

Fax

(661) 864-0198

NPI assigned

Jun 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Kern County Hispanic Commission on Alcohol and Drug Abuse Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bakersfield, CA
  • NPI 1821269382
  NPD (past)

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1982449591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TOWER WAY STE 140",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091586",
            "telephone_number": "661-634-9877",
            "fax_number": "661-864-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWER WAY STE 140",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091586",
            "telephone_number": "661-634-9877",
            "fax_number": "661-864-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHELLS",
        "first_name": "ALISA",
        "middle_name": "DIANE",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1543620124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reiannon Estrada, LVN
• Ricardo Estrada
• Maria Estrella
• Estrelle Hospice
• Leo Etcharte Tine
• John Louis Etcheverry, DPM
• Shelley Lynn Etcheverry, RN
• Kimberly Etchison, RN
• Evelyn Dianne Eterno, MSW ASW
• Soheil Etesham, MD

• Addiction (Substance Use Disorder) Counselor in Bakersfield, CA
• Providers in Bakersfield, 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 Jun 26, 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.