Active NPI
Crystal Shannon Oliva
- Addiction (Substance Use Disorder) Counselor
- Bakersfield, CA
National Provider Identifier
1245643261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1124 Baker St
Bakersfield, CA 93305-4322 - Phone
- (661) 327-9376
- Fax
- (661) 327-7649
- NPI assigned
- Jun 6, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
Primary practice location
1124 Baker St
Bakersfield, CA 93305-4322
Mailing address
PO Box 3067
Bakersfield, CA 93385-3067
Phone (661) 327-9376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851427322 | Other | CA | SUBSTANCE ABUSE PROGRAM |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Service Organization Behavioral Health Program | Past | Accepting new patients | |
| Comminity Services Organization Brotherhood Center | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Bakersfield, CA
- NPI 1851795934
-
- Community/Behavioral Health Agency
- Bakersfield, CA
- NPI 1851427322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1245643261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3067",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933853067",
"telephone_number": "661-327-9376",
"fax_number": "661-327-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 BAKER ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933054322",
"telephone_number": "661-327-9376",
"fax_number": "661-327-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVA",
"first_name": "CRYSTAL",
"middle_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE PROGRAM",
"identifier": "1851427322",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.