Nicki Nakessa Griswold
Counselor, Addiction (Substance Use Disorder) in La Puente, CA. Individual provider (NPI-1).
NPI number1760519862
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1760519862
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicki Nakessa Griswold
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | G0409281511 | CA | Yes |
Practice location
15229 Amar RdLa Puente, CA 91744-2066
Phone 626-855-5090 · Fax 626-961-1810
Mailing address
2399 White StPasadena, CA 91107-3265
Phone 626-796-8747
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in La Puente, CA
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All 25 Addiction (Substance Use Disorder) Counselor providers in La Puente · All 664 providers in La Puente
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