Jacob Butler, SUDRC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

23177 Issued in CA

Practice address

11540 Marsh Creek Rd
Clayton, CA 94517-9759

Phone

(925) 672-5700

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Bi Bett Corporation

  dba Diablo Valley Ranch

  • Substance Abuse Rehabilitation Facility
  • Clayton, CA
  • NPI 1588869853
  NPD (past)
• Bi-Bett

  • Community/Behavioral Health Agency
  • Clayton, CA
  • NPI 1235334673
  NPD (past)

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1497676100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 JUSTIN WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 MARSH CREEK RD",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945179759",
            "telephone_number": "925-672-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JACOB",
        "credential": "SUDRC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "23177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bi-Bett
• Sameh Heshmat William Aziz Boules
• Kimberly Rochelle Box, RADT
• Keith Richard Bradburn
• Austin Kent Brown, DDS
• Mark A Cain Jr.
• Matthew Manuel Cascarejo, COUNSELOR
• CBS
• Travis Daniel Chadwick, RADT-1
• Kellie Lynn Chang, LCSW

• Addiction (Substance Use Disorder) Counselor in Clayton, CA
• Providers in Clayton, 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 Jul 21, 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.