Malik-Hakim Kadir, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

156031 IV Issued in CA

Practice address

401 Laurel Ave
C 5
Pinole, CA 94564-1965

Phone

(602) 617-1536

Fax

(510) 231-8456

NPI assigned

Nov 10, 2014

Last updated

Sep 15, 2023By the provider in NPPES

Sex

Male

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

Enrolled in ID, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifeline Medical CenterGroup PAC ID 3678948577, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

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.

• Lifeline Medical Center

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1265160451

  ID, OR

  Medicare reassignment Care Compare group NPD
• People's Health Initiative Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1326858416
  NPD Authorized official
• Peaceful Hearts,

  • Professional Counselor
  • Davidsville, PA
  • NPI 1487448981

  OR

  Medicare reassignment

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1558767186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29351 ST ANDREWS",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304374",
            "telephone_number": "949-491-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LAUREL AVE",
            "address_2": "C 5",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641965",
            "telephone_number": "602-617-1536",
            "fax_number": "510-231-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIR",
        "first_name": "MALIK-HAKIM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "156031 IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Lee Johnson
• Joseph Anthony Matan M.D. a Professional Corporation.
• Jovance Beauty and Health Spa, Inc.
• Jung and Jung Chirorpractic LTD
• Brandon G Jung, DC
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Phrmcy #120)
• Kamilah Sanford, D.D.S., Inc (Pinole Valley Orthodontics)
• Kamran Kashirad & Bardia Najafi, DDS, a Professional Dental Corp. (Kamran Kashirad, DDS)
• Swetha Kanukula
• Kyle Curtis Kim

• Addiction (Substance Use Disorder) Counselor in Pinole, CA
• Providers in Pinole, 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 Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.