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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALYSSA MAE GARDNER
NPI 1619767084
Counselor - Addiction (Substance Use Disorder) in El Cajon, CA

Active since May 08, 2025
1365 N JOHNSON AVE STE 111, EL CAJON, CA 92020(619) 440-4801 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alyssa Mae Gardner NPPES

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

ALYSSA MAE GARDNER (NPI 1619767084) is an individual addiction (substance use disorder) provider in El Cajon, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1619767084
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameALYSSA MAE GARDNER
Location Address1365 N JOHNSON AVE STE 111El Cajon, CA 92020-1649
Mailing Address1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651
Phone(619) 440-4801
Sole ProprietorYes
Enumeration DateMay 8, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1619767084 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
1365 N JOHNSON AVE STE 111, El Cajon, CA 92020
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ERIC BLANK
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
JESSICA LYNNE DESSAUER
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
TASHIA NICOLE PETTY
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
KENIA VARGAS
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
RACHEL ELLEN JACKSON
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
DENNIS PAUL GOULET HOLMES
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
CASSANDRA DAWN KINGSBURY
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
HOPE VIOLET STONEKING
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801

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 Alyssa Gardner's NPI number?

The NPI number for Alyssa Gardner is 1619767084. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Alyssa Gardner located?

Alyssa Gardner practices at 1365 N Johnson Ave Ste 111, El Cajon, CA 92020. The listed phone number is (619) 440-4801.

What is Alyssa Gardner'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 Alyssa Gardner was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.