CARISSA KIMBERLY PELLERIN SUBSTANCE ABUSE COUN
NPI 1831868595
Counselor - Addiction (Substance Use Disorder) in Glendale, CA

Active since September 07, 2021
4544 SAN FERNANDO RD, GLENDALE, CA 91204(818) 240-8843(818) 240-8885 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carissa Kimberly Pellerin Substance Abuse Coun NPPES

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

CARISSA KIMBERLY PELLERIN SUBSTANCE ABUSE COUN (NPI 1831868595) is an individual addiction (substance use disorder) provider in Glendale, California, licensed in California (F7857329) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1831868595
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCARISSA KIMBERLY PELLERINCredential: SUBSTANCE ABUSE COUN
Location Address4544 SAN FERNANDO RDGlendale, CA 91204-1987
Mailing Address23520 Stillwater PlSanta Clarita, CA 91321-3555 · (818) 240-8843 · Fax (818) 240-8885
Fax(818) 240-8885
Sole ProprietorYes
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
NPI 1831868595 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 · F7857329
4544 SAN FERNANDO RD, Glendale, CA 91204

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Methadone)
4544 SAN FERNANDO RD, SUITE 201
GLENDALE, CA 91204
Clinic/Center (Methadone)
4544 SAN FERNANDO RD, SUITE 201
GLENDALE, CA 91204
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD
GLENDALE, CA 91204

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 Carissa Pellerin's NPI number?

The NPI number for Carissa Pellerin is 1831868595. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Carissa Pellerin located?

Carissa Pellerin practices at 4544 San Fernando Rd, Glendale, CA 91204. The listed phone number is (818) 240-8843.

What is Carissa Pellerin'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 Carissa Pellerin was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.