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MRS. CHARISSE MARIE CARUTH-IACONO LAADC
NPI 1679946479
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since November 03, 2015
1625 SCHRADER BLVD, LOS ANGELES, CA 90028(213) 466-5042 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Charisse Marie Caruth-iacono Laadc NPPES

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

MRS. CHARISSE MARIE CARUTH-IACONO LAADC (NPI 1679946479) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in North Carolina (LCAS-21587) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1679946479
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CHARISSE MARIE CARUTH-IACONOCredential: LAADC
Location Address1625 SCHRADER BLVDLos Angeles, CA 90028-6213
Mailing Address1625 Schrader BlvdLos Angeles, CA 90028-6213 · (213) 466-5042
Phone(213) 466-5042
Sole ProprietorNo
Enumeration DateNovember 3, 2015
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1679946479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · LCAS-21587
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RALR8960418 (CA)
1625 SCHRADER BLVD, Los Angeles, CA 90028
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Other Names 1

Former Name (1)Miss Charisse Marie Caruth Lcas

Other Identifiers 1

Other01536011CA · Medi-cal

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.

DR. KEVIN THOMAS MARX PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7467
DEVIKA SHANKAR
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7504
AUDREY MACASIEB
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8910
ANEDRA PRESSLEY RN
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7434
ALAN GAONA
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8971
MR. RISHAD LAWYER LMFT
Marriage & Family Therapist
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7500
ACE SEIDEL
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (213) 466-5021
JULIE MOORE
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 860-5889

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 Charisse Caruth-iacono's NPI number?

The NPI number for Charisse Caruth-iacono is 1679946479. It was assigned to this individual provider in the NPPES registry on November 3, 2015. The provider is also known as Miss Charisse Marie Caruth Lcas.

Where is Charisse Caruth-iacono located?

Charisse Caruth-iacono practices at 1625 Schrader Blvd, Los Angeles, CA 90028. The listed phone number is (213) 466-5042.

What is Charisse Caruth-iacono'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 Charisse Caruth-iacono was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.