CAROLANN ARDIS (NPI# 1053532127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053532127 |
| Entity Type | Individual |
| Full Name | CAROLANN ARDIS |
| Credential | RAS |
| Practice Address |
1001 Broadway Suite 201 Jackson CA 95642 |
| Practice Telephone | 2092236412 |
| Practice Fax Number | 2092230920 |
| Mailing Telephone | 2092236412 |
| Mailing Fax Number | 2092230920 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RASIRI-D05091508 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ADDICTION SPECIALIST | RASIRI-D0509150826 | 01 |
| Street Address |
1001 BROADWAY SUITE 201 |
| City | JACKSON |
| State | CA |
| Zip Code | 95642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366842965 | Lori Weir-weber | Marriage & Family Therapist | 1001 Broadway, Suite 202, Jackson, CA 95642-2649 | 2014-09-02 |
| 1790124329 | Adam H. B. Mcdonald | Marriage & Family Therapist | 1001 Broadway, Suite 105, Jackson, CA 95642-2649 | 2013-06-17 |
| 1831473727 | Diane Escoffon | Psychologist | 1001 Broadway, Jackson, CA 95642-2649 | 2011-10-11 |
| 1790906972 | Bryce L Stein | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1427270495 | Steven Higgins | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1912129982 | Brenda Armstrong | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1801018874 | Robbi Geyser | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1043431190 | Diane Vanoverloop-mcnown | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642 | 2007-05-02 |
| 1629297155 | Ron M Majano | Counselor | 1001 Broadway, Suite 201, Jackson, CA 95642-2649 | 2007-04-24 |
| 1235358755 | Denise Ann James | Marriage & Family Therapist | 1001 Broadway, Suite 201, Jackson, CA 95642-2649 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1760098727 | Anna Marie Jones | Counselor | 32 Portsmouth St, Jackson, OH 45640-1622 | 2020-09-16 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1184184202 | Tracy Dawn Schuh | Counselor | 300 Morton St, Jackson, OH 45640-1028 | 2019-03-24 |
| 1013483858 | Bradley A Tompson | Counselor | 794 Mcdonough Rd Ste 100, Jackson, GA 30233-1572 | 2018-10-19 |
| 1295237048 | Impact Behavioral Counseling LLC | Counselor | 37 Sandstone Cir Ste 92b, Jackson, TN 38305-2089 | 2018-03-07 |
| 1942708920 | Candace R Downey | Counselor | 120 Twin Oaks Dr Unit D, Jackson, OH 45640-9506 | 2018-01-25 |
| 1508379462 | Vicki Lee Harper | Counselor | 295 Broadway St Ste 101, Jackson, OH 45640-1701 | 2017-11-14 |
| 1356867295 | Stephanie Michelle Gilbert | Counselor | 345 E Main St Ste A, Jackson, OH 45640-1780 | 2017-08-22 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.