IndividualActive
Ashley Sullivan, RADT-1
NPI 1417538992 · Addiction (Substance Use Disorder) Counselor · Placerville, CA
Provider details
- NPI number
- 1417538992
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- RADT-1
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2844 Coloma St
Placerville, CA 95667-4406
Phone: (530) 333-9460
Street-level locationGet directions
Mailing address
Po Box 871
Garden Valley, CA 95633-0871
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2021-05-12
- Certified
- 2021-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.