Selene Ketchum, CLEC CBD

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

540 N Marine Ave
Wilmington, CA 90744-5528

Phone

(310) 491-4948

NPI assigned

Jan 17, 2023

Last updated

Feb 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• South Bay Center for Counseling

  • Community/Behavioral Health Agency
  • Wilmington, CA
  • NPI 1942508320

  Doula

  NPD Authorized official
• South Bay Center for Counseling

  • Community/Behavioral Health Agency
  • El Segundo, CA
  • NPI 1710322219
  NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1497460117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N MARINE AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445528",
            "telephone_number": "310-491-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N MARINE AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445528",
            "telephone_number": "310-491-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "SELENE",
        "credential": "CLEC CBD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M Molina MD Professional Corporation Southern California (Molina Wilmington)
• Joseph M Molina MD Professional Corporation-Southern California
• Samuel Jung, DC
• Negin Kahen, PA-C
• Payam John Kahen, M.D.
• Tariq Tahir Khraishi, O.D.
• Andrew Kim, D.D.S.
• Kimbo Drug & Alcohol Rehabilitation Services
• Kimbo Medical Distributor
• Marilyn Kleist, LMFT

• Doula in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Doula in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.