Kipling Treatment Group

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MD A45231 Issued in CA

Legal business name

KIPLING TREATMENT GROUP

Doing business as

Walking Miracles Billing Group

Practice address

4067 W 3Rd St
Los Angeles, CA 90020-3120

Phone

(888) 870-2201

Fax

(888) 337-0365

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Christopher Bathum, CEO

Title

Ceo

Phone

(818) 635-9380

Specialties & licenses 1

Addresses

Other names 1

• Walking Miracles Billing Group Doing business as

Tax ID family

Kipling Treatment Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Los Angeles Family Institute

  • Addiction (Substance Use Disorder) Psychologist
  • Calabasas, CA
  • NPI 1053666024
  NPD tax ID

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1396025235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203120",
            "telephone_number": "888-870-2201",
            "fax_number": "888-337-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203120",
            "telephone_number": "888-870-2201",
            "fax_number": "888-337-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPLING TREATMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "BATHUM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-635-9380",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MD A45231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walking Miracles Billing Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Valerie Kipper
• Michelle Joy Kiprop, RN, NP
• Kir Medical Group

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 23, 2011; 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.