CAROL THREDE NPI 1750503538

NPI Information

NPI: 1750503538
Provider Name: CAROL THREDE
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
9100 BRENTWOOD BLVD
BRENTWOOD, CA
ZIP 94513
Phone: (925) 809-7920
Get Directions

Carol Threde is an addiction (substance use disorder) counselor in Brentwood, CA. Carol Threde NPI is 1750503538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9100 BRENTWOOD BLVD
BRENTWOOD, CA
ZIP 94513-000
Phone: (925) 809-7920
Fax: (925) 809-7928

The enumeration date for this NPI number is 5/3/2007 and was last updated on 2/5/2008.

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
1	251S00000X	Community/Behavioral Health				No
2	101YA0400X	Counselor	Addiction (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
1	07556	OTHER	CALIFORNIA	BYRON RANCH
2	07557	OTHER	CALIFORNIA	DMC ADOL BRENTWOOD
3	0726	OTHER	CALIFORNIA	MEDI-CAL PROVIDER NUMBER
4	07553	OTHER	CALIFORNIA	ADOL TX BRENTWOOD
5	070753	OTHER	CALIFORNIA	MASTER PROVIDER NUMBER
6	07534	OTHER	CALIFORNIA	DMC ADULT ANTIOCH
7	07552	OTHER	CALIFORNIA	DMC ADULT BRENTWOOD
8	075531	OTHER	CALIFORNIA	ADULT TX ANTIOCH
9	070726	OTHER	CALIFORNIA	MASTER PROVIDER NUMBER
10	07536	OTHER	CALIFORNIA	DMC ADOL ANTIOCH
11	56682	OTHER	CALIFORNIA	STAFF BILLING NUMBER
12	0753	OTHER	CALIFORNIA	DRUG MEDI-CAL BILLING NUM
13	07555	OTHER	CALIFORNIA	DRUG COURT
14	07533	OTHER	CALIFORNIA	ADOL TX ANTIOCH
15	07551	OTHER	CALIFORNIA	ADULT TX BRENTWOOD

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: 11/14/2023

NPI Synchronization or Removal

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