NPI 1487411468
Tina Ann Holley, RADT
Counselor, Addiction (Substance Use Disorder) · Campo, CA
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:20 am EDT
See the full record in NPI Lookup
Licenses with board links, Medicare enrollment, the verification report, industry payments and published research, plus Excel and PDF downloads.
Tina Ann Holley, RADT is a health care provider (Counselor, Addiction (Substance Use Disorder)) in Campo, California with National Provider Identifier (NPI) 1487411468. The NPI was issued on Mar 5, 2024 and the registry record was last updated on Mar 5, 2024. The registry lists a license in California.
Registry record
- NPI
- 1487411468
- Type
- Individual (NPI-1)
- Primary specialty
- Counselor, Addiction (Substance Use Disorder) 101YA0400X
- Practice location
- 1777 Buckman Springs Rd
Campo, CA 91906-2022 - Phone
- (619) 478-5696
- NPI issued
- Mar 5, 2024
- Registry record updated
- Mar 5, 2024
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | California | R1545130124 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Addiction (Substance Use Disorder) Counselor providers in California
- Jennifer FontanaWoodland Hills, CA
- Michael RodriguezBloomington, CA
- Jose MendozaChico, CA
- Kathryn M. Tate, CADCThousand Oaks, CA
- Maria CarterTustin, CA
- Monica Ann Rodriguez, R.A.S.Hollister, CA
- Robert William ArchuletaOakland, CA
- Jose MartinezNapa, CA
- Joe Martinez Jr.Downey, CA
- Joe Louis Martinez Jr.Visalia, CA
- Jack Scott, RADTFremont, CA
- Tracey Bonner, CADC-llRialto, CA
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.