Active NPI
Kathy Laverne Barron, LCSW
- Mental Health Counselor
- Manteca, CA
National Provider Identifier
1063577062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS 19017
- Practice address
- 1789 W. Yosemite Ave.
Sierra Building, 1St Floor
Manteca, CA 95337 - Phone
- (209) 858-7767
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS 19017 | CA | Primary |
Addresses
Primary practice location
1789 W. Yosemite Ave.
Sierra Building, 1St Floor
Manteca, CA 95337
Mailing address
1789 W. Yosemite Ave.
Sierra Building, 1St Floor
Manteca, CA 95337
Phone (209) 858-7767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 19017 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419552000000",
"number": "1063577062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1789 W. YOSEMITE AVE.",
"address_2": "SIERRA BUILDING, 1ST FLOOR",
"city": "MANTECA",
"state": "CA",
"postal_code": "95337",
"telephone_number": "209-858-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1789 W. YOSEMITE AVE.",
"address_2": "SIERRA BUILDING, 1ST FLOOR",
"city": "MANTECA",
"state": "CA",
"postal_code": "95337",
"telephone_number": "209-858-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON",
"first_name": "KATHY",
"middle_name": "LAVERNE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2014-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS 19017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.