Active NPI
Kessha Johnson, ASW
- Social Worker
- Bakersfield, CA
National Provider Identifier
1629402250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 81832
- Practice address
- 3117 Wilson Rd
Bakersfield, CA 93304-5319 - Phone
- (661) 324-4756
- NPI assigned
- Aug 30, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CATC III 133238 | CA | |
| Social Worker | 104100000X | 81832 | CA | Primary |
Addresses
Primary practice location
3117 Wilson Rd
Bakersfield, CA 93304-5319
Mailing address
1430 Truxtun Ave Ste 600
Bakersfield, CA 93301-5220
Phone (661) 635-3050
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 |
|---|---|---|---|
| CATC III 133238 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1629402250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TRUXTUN AVE STE 600",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933015220",
"telephone_number": "661-635-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 WILSON RD",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933045319",
"telephone_number": "661-324-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KESSHA",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CATC III 133238",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "81832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.