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TANISHA JORDAN BALOGUN
NPI 1750895298
Counselor - Addiction (Substance Use Disorder) in Riverside, CA

Active since November 20, 2017
17270 ROOSEVELT ST # 304, RIVERSIDE, CA 92508(951) 780-2541 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanisha Jordan Balogun NPPES

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

TANISHA JORDAN BALOGUN (NPI 1750895298) is an individual addiction (substance use disorder) provider in Riverside, California and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1750895298
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTANISHA JORDAN BALOGUN
Location Address17270 ROOSEVELT ST # 304Riverside, CA 92508-9523
Mailing Address17270 Roosevelt St # 304Riverside, CA 92508-9523 · (951) 780-2541
Phone(951) 780-2541
Sole ProprietorNo
Enumeration DateNovember 20, 2017
✔ NPI 1750895298 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
17270 ROOSEVELT ST # 304, Riverside, CA 92508
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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 Tanisha Balogun's NPI number?

The NPI number for Tanisha Balogun is 1750895298. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Where is Tanisha Balogun located?

Tanisha Balogun practices at 17270 Roosevelt St # 304, Riverside, CA 92508. The listed phone number is (951) 780-2541.

What is Tanisha Balogun'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 Tanisha Balogun was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.