CAROLANN ARDIS


Address: 1001 Broadway, Suite 201, Jackson, CA 95642
Phone: 2092236412

CAROLANN ARDIS (NPI# 1053532127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA ADDICTION SPECIALIST RASIRI-D0509150826 01

Office Location

Street Address 1001 BROADWAY
SUITE 201
City JACKSON
State CA
Zip Code 95642

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City JACKSON
Zip Code 95642

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Dataset Information

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.

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