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ELIZABETH NOLAN
NPI 1922512565
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since November 17, 2017PECOS Enrolled
3340 KEMPER ST STE 103, SAN DIEGO, CA 92110(619) 758-1433 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elizabeth Nolan NPPES

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

ELIZABETH NOLAN (NPI 1922512565) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1922512565
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELIZABETH NOLAN
Location Address3340 KEMPER ST STE 103San Diego, CA 92110-4907
Mailing Address3340 Kemper St Ste 103San Diego, CA 92110-4907
Phone(619) 758-1433
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 17, 2017
✔ NPI 1922512565 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
3340 KEMPER ST STE 103, San Diego, CA 92110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Nolan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496237596
PECOS Enrollment IDI20260306002786
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Nolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Behavioral Health Center Inc.
1,643 mi
Primary Care
151 N MAIN ST
Decatur, IL 62523
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1023708880 (217) 362-6262

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

MR. RICHARD LEE HILL CAADAC RW
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 103
SAN DIEGO, CA 92110
San Diego County (619) 224-1673
MS. VICTORIA S COLLINS RADT
Case Manager/Care Coordinator
3340 KEMPER ST STE 103
SAN DIEGO, CA 92110
San Diego County (619) 758-1433
KAREN ANITA HARMON
Specialist
3340 KEMPER ST STE 103
SAN DIEGO, CA 92110
San Diego County (619) 758-1433
MRS. MARY LYNNE KOZIOROWSKI CADC II
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 103
SAN DIEGO, CA 92110
San Diego County (619) 224-1673
LORI S. HAYES CAS II
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 103
SAN DIEGO, CA 92110
San Diego County (619) 224-1673
CHRISTOPHER WILHELM
Counselor (Mental Health)
3340 KEMPER ST STE 103
SAN DIEGO, CA 92110
San Diego County (619) 758-1433
VALERIE JUAREZ CAS
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 103
SAN DIEGO, CA 92110
San Diego County (619) 224-1673
MIGUEL ANGEL ROJAS
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 103
SAN DIEGO, CA 92110
San Diego County (619) 758-1433

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 Elizabeth Nolan's NPI number?

The NPI number for Elizabeth Nolan is 1922512565. It was assigned to this individual provider in the NPPES registry on November 17, 2017.

Where is Elizabeth Nolan located?

Elizabeth Nolan practices at 3340 Kemper St Ste 103, San Diego, CA 92110. The listed phone number is (619) 758-1433.

What is Elizabeth Nolan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Elizabeth Nolan enrolled in Medicare?

Yes. Elizabeth Nolan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Nolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Nolan reassigns Medicare benefits to Heritage Behavioral Health Center Inc. (Decatur, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Nolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Nolan was last updated on November 17, 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.