Active NPI
Oshalique Bass
- Professional Counselor
- Lodi, CA
National Provider Identifier
1477811677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11168
- Practice address
- 1111 W Tokay St
Lodi, CA 95240-3965 - Phone
- (209) 242-6332
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PCCI 2819 | CA | |
| Professional Counselor | 101YP2500X | 11168 | CA | Primary |
Addresses
Primary practice location
1111 W Tokay St
Lodi, CA 95240-3965
Mailing address
1111 W Tokay St
Lodi, CA 95240-3965
Phone (209) 242-6332
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCCI 2819 | CA | MD | Mental Health Counselor |
| 11168 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1477811677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W TOKAY ST",
"city": "LODI",
"state": "CA",
"postal_code": "952403965",
"telephone_number": "209-242-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W TOKAY ST",
"city": "LODI",
"state": "CA",
"postal_code": "952403965",
"telephone_number": "209-242-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "OSHALIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PCCI 2819",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "11168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.