Mr Jeffrey Kent Niss, CCAPP C7801214 - Counselor in Vista, CA

Mr Jeffrey Kent Niss, CCAPP C7801214 is a Counselor - Addiction (substance Use Disorder) based in Vista, California. Mr Jeffrey Kent Niss is licensed to practice in California (license number C7801214) and his current practice location is 733 S Santa Fe Ave, Vista, California. He can be reached at his office (for appointments etc.) via phone at (760) 945-5290.

NPI number for Mr Jeffrey Kent Niss is 1508539669 and his current mailing address is 2130 S Santa Fe Ave Apt 28, Vista, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508539669.

Contact Information

Mr Jeffrey Kent Niss, CCAPP C7801214
733 S Santa Fe Ave,
Vista, CA 92083-5939
(760) 945-5290
(760) 945-7765

Map and Direction


Healthcare Provider's Profile

Full NameMr Jeffrey Kent Niss
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location733 S Santa Fe Ave, Vista, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508539669
  • Provider Enumeration Date: 07/26/2021
  • Last Update Date: 07/26/2021

Medical Identifiers

Medical identifiers for Mr Jeffrey Kent Niss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508539669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) C7801214 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeffrey Kent Niss is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jeffrey Kent Niss, CCAPP C7801214
2130 S Santa Fe Ave Apt 28,
Vista, CA 92084-7853

Ph: (760) 214-0378
Mr Jeffrey Kent Niss, CCAPP C7801214
733 S Santa Fe Ave,
Vista, CA 92083-5939

Ph: (760) 945-5290

Reviews and Comments


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