Katheryn Ann Louks, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1460090322 Issued in CA

Practice address

484 Plesant Valley Rd
Suite#4
Diamond Springs, CA 95619-9566

Phone

(530) 344-7633

NPI assigned

Jun 15, 2022

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

Other names 1

• Miss Katheryn Ann Louks Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shamanic Living Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Diamond Springs, CA
  • NPI 1407346513
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1730819327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 GOLDNER CT",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676450",
            "telephone_number": "530-317-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 PLESANT VALLEY RD",
            "address_2": "SUITE#4",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199566",
            "telephone_number": "530-344-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUKS",
        "first_name": "KATHERYN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "RADT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1460090322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERYN",
            "last_name": "LOUKS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "RADT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Layna Larson, DC
• Lori Lynn Larson, MFT
• Amanda Jean Lee
• Jennifer Lynn Lotery, PHD
• Don Louie
• Curtis Ludwick
• Kristalyn Lynch, SUDRC
• Danny M Marquez
• Marshall Medical Center
• Shonna K Martin

• Addiction (Substance Use Disorder) Counselor in Diamond Springs, CA
• Providers in Diamond Springs, 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 Jun 15, 2022; 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.