Individual provider Active NPI

Casey James Loebs, CADC-CAS

  • Addiction (Substance Use Disorder) Counselor
  • Pasadena, CA
National Provider Identifier
1396179644
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
09-4020 Issued in CA
Practice address
221 E Walnut St Ste 120
Pasadena, CA 91101-1554
Phone
(626) 802-8287
NPI assigned
Aug 22, 2013
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 09-4020 CA Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

221 E Walnut St Ste 120
Pasadena, CA 91101-1554

Mailing address

221 E Walnut St Ste 120
Pasadena, CA 91101-1554
Phone (626) 802-8287

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

State licenses

LicenseStateTypeSpecialty
09-4020CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Life Addiction (Substance Use Disorder) CurrentSince Sep 1, 2019 Accepting new patients
Detour Behavioral Health, Inc. Current Accepting new patients

Locations

221 E Walnut St
Ste 120
Pasadena, CA 91101
Phone (626) 298-6818

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1396179644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E WALNUT ST STE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011554",
            "telephone_number": "626-802-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E WALNUT ST STE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011554",
            "telephone_number": "626-802-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBS",
        "first_name": "CASEY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CADC-CAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "09-4020",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.