DOUGLASS PIPKIN RADT- NPI 1245829506

NPI Information

  • NPI: 1245829506
  • Provider Name: DOUGLASS PIPKIN, RADT-
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2400 COUNTY CENTER DR
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 566-0170

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NPI Details

Douglass Pipkin, RADT- is an addiction (substance use disorder) counselor in Santa Rosa, CA. Douglass Pipkin, RADT- NPI is 1245829506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2400 COUNTY CENTER DR
SANTA ROSA, CA
ZIP 95403-004
Phone: (707) 566-0170

The enumeration date for this NPI number is 1/12/2021 and was last updated on 1/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
194-1694676MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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