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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.

JESSIKAH INGLEY SUDRC I
NPI 1710817739
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Active since May 21, 2026
1100 KANSAS AVE STE B, MODESTO, CA 95351(209) 579-1151(209) 579-9605 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Aug 3, 2026, May 21, 2026 (3 updates tracked since 2026).

About Jessikah Ingley Sudrc I NPPES

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

JESSIKAH INGLEY SUDRC I (NPI 1710817739) is an individual addiction (substance use disorder) provider in Modesto, California, licensed in California (26217) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1710817739
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSIKAH INGLEYCredential: SUDRC I
Location Address1100 KANSAS AVE STE BModesto, CA 95351-1596
Mailing Address901 California Ave Apt 12Modesto, CA 95351-2584
Phone(209) 579-1151
Fax(209) 579-9605
Sole ProprietorNo
Enumeration DateMay 21, 2026
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1710817739 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 CA · 26217
Also ListedPeer SpecialistTaxonomy 175T00000X · License MPSS-DYIQSE (CA)
1100 KANSAS AVE STE B, Modesto, CA 95351
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Other Providers at the Same Location NPPES 12

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

STANISLAUS COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES
Counselor (Mental Health)
1100 KANSAS AVE STE B
MODESTO, CA 95351
Stanislaus County (209) 558-8884
ANTONIO GUZMAN GARCIA
Counselor (Addiction (Substance Use Disorder))
1100 KANSAS AVE STE B
MODESTO, CA 95351
Stanislaus County (209) 579-1151
KARA MOBLEY ALBICE SUDCC II 8820
Counselor (Addiction (Substance Use Disorder))
1100 KANSAS AVE STE B
MODESTO, CA 95351
Stanislaus County (209) 579-1151
ALVIN HETZER
Counselor (Addiction (Substance Use Disorder))
1100 KANSAS AVE STE B
MODESTO, CA 95351
Stanislaus County (916) 282-1090
KATRINA LYNN STOUGHTENBOROUGH MSW
Counselor (Professional)
1100 KANSAS AVE STE B
MODESTO, CA 95351
Stanislaus County (209) 558-8884
MS. ANGIE PRIETO
Adult Companion
1100 KANSAS AVE STE B
MODESTO, CA 95351
Stanislaus County (209) 558-8884
CRYSTAL DEE BRYANT SUDCCII
Counselor (Addiction (Substance Use Disorder))
1100 KANSAS AVE STE B
MODESTO, CA 95351
Stanislaus County (209) 390-2743
DAVID HOLLANDER LYON M.D
Internal Medicine
1100 KANSAS AVE STE B
MODESTO, CA 95351
Stanislaus County (209) 579-1151

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 Jessikah Ingley's NPI number?

The NPI number for Jessikah Ingley is 1710817739. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Jessikah Ingley located?

Jessikah Ingley practices at 1100 Kansas Ave Ste B, Modesto, CA 95351. The listed phone number is (209) 579-1151.

What is Jessikah Ingley'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 Jessikah Ingley was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.