NPPES file of Aug 9, 2026

Raevin Nickerson, RAD-T

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

Raevin Nickerson, RAD-T is an addiction (substance use disorder) counselor with a practice address in Fairfield, California, and NPI 1487438594, issued on Aug 21, 2023. Check the license (California R1521270823, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1487438594
Name
Raevin Nickerson
Credential
RAD-T
Primary taxonomy
Addiction (Substance Use Disorder) Counselor 101YA0400X
License number
R1521270823 CA
Self-reported in NPPES; status is on the state search
Practice location
1225 Travis Blvd, Fairfield, CA 94533
Phone
(707) 399-9105
Enumerated
Aug 21, 2023
Record last updated
Aug 21, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest addiction (substance use disorder) counselor records → All 27,741 in California → Look up another NPI →

Also registered at 1225 Travis Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Christopher Audette, APCCAddiction (Substance Use Disorder) Counselor1851165773
  2. Jessica Bassett, RAD-T1Addiction (Substance Use Disorder) Counselor1962136747
  3. Dempsey Crispieri, SUDRCAddiction (Substance Use Disorder) Counselor1962284133
  4. Marta Engleman, RADT-TAddiction (Substance Use Disorder) Counselor1871238287
  5. Kimberly Johnson, RAD-TAddiction (Substance Use Disorder) Counselor1528787140
  6. Theresa Porter, RADTAddiction (Substance Use Disorder) Counselor1659138147

Verify Raevin Nickerson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license R1521270823    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Raevin Nickerson among 27,741 addiction (substance use disorder) counselor records in California

Raevin Nickerson, RAD-T is one of 27,741 addiction (substance use disorder) counselor records with a practice address in California. under 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2023, is newer than 76% of them.

  • NPI issued2023 · 76% of these records are older, 18% newer
  • In a Medicare fileNo · under 1% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2023 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YA0400X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

173 addiction (substance use disorder) counselor records list a practice address in Fairfield

They are 173 of the 3,595 NPPES records with a practice address in Fairfield, and 27,741 addiction (substance use disorder) counselor records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 27,741 in California → Every provider in Fairfield → Addiction (Substance Use Disorder) Counselor nationwide →

The 8 addiction (substance use disorder) counselor records with the nearest ZIP codes

  1. Karen BradshawFairfield, CA 945331093857666
  2. Lori Cairns, RASIFairfield, CA 945331780854406
  3. Suzanne Darbyshire, COUNSELORFairfield, CA 945331063589281
  4. Kelly DixonFairfield, CA 945331346305075
  5. Eliseo GastelumFairfield, CA 945331528122975
  6. Debra Hunter-LeeFairfield, CA 945331275697252
  7. Naomi JacksonFairfield, CA 945331861603805
  8. Miguel Juarez, M.A,Fairfield, CA 945331831266626

Common questions

What is Raevin Nickerson, RAD-T's NPI number?

Raevin Nickerson, RAD-T's National Provider Identifier (NPI) is 1487438594, issued on Aug 21, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Raevin Nickerson, RAD-T located?

The NPPES record lists a practice address at 1225 Travis Blvd, Fairfield, CA, 94533. Phone: (707) 399-9105. Providers update this record themselves, so call before visiting.

How can I verify Raevin Nickerson, RAD-T's license?

NPPES lists California license number R1521270823, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.