Kuumba Madison, LPT, RADT II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14121 Issued in CA

Practice address

1776 Ygnacio Valley Rd Ste 206
Walnut Creek, CA 94598-3125

Phone

(707) 208-2051

NPI assigned

Jun 18, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Harmonic Solutions LLC

  dba Harmonic Solutions

  • Methadone Clinic
  • Walnut Creek, CA
  • NPI 1518501527
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1265001861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 IVYLEAF SPRINGS RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945826018",
            "telephone_number": "707-208-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD STE 206",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983125",
            "telephone_number": "707-208-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "KUUMBA",
        "name_prefix": "Mr.",
        "credential": "LPT, RADT II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "32557",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Maddox
• Trinity Maddox
• Julia Maddux
• Katherine Helen Mader, PA-C
• Rohan Madhok
• Mikee Madlangbayan
• Christina Madlener
• David L. Madnick, MD
• Yvonne Madrid, BS
• Laura Nicole Madsen

• Addiction (Substance Use Disorder) Counselor in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.