Individual provider Active NPI

Kathryn Lusk, A042651016

  • Addiction (Substance Use Disorder) Counselor
  • Visalia, CA
National Provider Identifier
1679920433
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A042651016 Issued in CA
Practice address
942 S Santa Fe St
Visalia, CA 93292-2912
Phone
(559) 636-4000
Fax
(559) 624-1067
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C033660515 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X A042651016 CA Primary

Addresses

Primary practice location

942 S Santa Fe St
Visalia, CA 93292-2912

Mailing address

942 S Santa Fe St
Visalia, CA 93292-2912
Phone (559) 636-4000

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

LicenseStateTypeSpecialty
A042651016CAMDAddiction (Substance Use Disorder) Counselor
C033660515CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Recovery Services, Inc. Past Accepting new patients
County of Tulare PastSince Dec 9, 2019 Accepting new patients
County of Tulare PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1679920433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 S SANTA FE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932922912",
            "telephone_number": "559-636-4000",
            "fax_number": "559-624-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 S SANTA FE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932922912",
            "telephone_number": "559-636-4000",
            "fax_number": "559-624-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "KATHRYN",
        "credential": "A042651016",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C033660515",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A042651016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.