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JESSICA R ELACK RADT
NPI 1053923193
Counselor - Addiction (Substance Use Disorder) in Roseville, CA

Active since August 19, 2020
730 SUNRISE AVENUE, BUILDING 200, STE-201, ROSEVILLE, CA 95661(916) 782-3737 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica R Elack Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA R ELACK RADT (NPI 1053923193) is an individual addiction (substance use disorder) provider in Roseville, California, licensed in California (R1402020820) and active in the NPI registry since August 2020. She maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1053923193
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA R ELACKCredential: RADT
Location Address730 SUNRISE AVENUE, BUILDING 200, STE-201Roseville, CA 95661
Mailing Address730 Sunrise Avenue, Building 200, Ste-201Roseville, CA 95661 · (916) 782-3737
Phone(916) 782-3737
Sole ProprietorNo
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1053923193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1402020820
730 SUNRISE AVENUE, Roseville, CA 95661
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Secondary Practice Location 1

Location 11530 3rd St Ste 111Lincoln, CA 95648-2501 · Phone (916) 884-0015

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSANDRA HARRISON RADT
Counselor (Addiction (Substance Use Disorder))
730 SUNRISE AVENUE, BUILDING 200, STE-201
ROSEVILLE, CA 95661
Placer County (916) 782-3737
MIRANDA L MCQUEEN RADT
Counselor (Addiction (Substance Use Disorder))
730 SUNRISE AVENUE, BUILDING 200, STE-201
ROSEVILLE, CA 95661
Placer County (916) 782-3737
DR. THOMAS GEORGE DWYER
Dentist (Endodontics)
730 SUNRISE AVENUE, #110
ROSEVILLE, CA 95661
Placer County (916) 784-3993
MICHELLE ROSETTA WRIGHT
Marriage & Family Therapist
730 SUNRISE AVENUE, BUILDING 200, STE-201
ROSEVILLE, CA 95661
Placer County (916) 782-3737
LATOYA WILLIAMS SUDRC
Counselor (Addiction (Substance Use Disorder))
730 SUNRISE AVENUE, BUILDING 200, STE-201
ROSEVILLE, CA 95661
Placer County (530) 878-5166
SHAMARI ROY RADT
Counselor (Addiction (Substance Use Disorder))
730 SUNRISE AVENUE, BUILDING 200, STE-201
ROSEVILLE, CA 95661
Placer County (530) 878-5166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Elack's NPI number?

The NPI number for Jessica Elack is 1053923193. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Jessica Elack located?

Jessica Elack practices at 730 Sunrise Avenue Building 200, Ste-201, Roseville, CA 95661. The listed phone number is (916) 782-3737.

What is Jessica Elack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Elack was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.