Individual provider Active NPI

Kasha Sarah Kiley, CASI

  • Addiction (Substance Use Disorder) Counselor
  • Nevada City, CA
National Provider Identifier
1750709499
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13520 Issued in CA
Practice address
103 Providence Mine Rd
Suite 101
Nevada City, CA 95959-2941
Phone
(530) 265-2914
Fax
(530) 265-2974
NPI assigned
Mar 31, 2014
Last updated
Mar 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13520 CA Primary

Addresses

Primary practice location

103 Providence Mine Rd
Suite 101
Nevada City, CA 95959-2941

Mailing address

103 Providence Mine Rd
Suite 101
Nevada City, CA 95959-2941
Phone (530) 265-2914

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
13520CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1750709499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROVIDENCE MINE RD",
            "address_2": "SUITE 101",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592941",
            "telephone_number": "530-265-2914",
            "fax_number": "530-265-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROVIDENCE MINE RD",
            "address_2": "SUITE 101",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592941",
            "telephone_number": "530-265-2914",
            "fax_number": "530-265-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "KASHA",
        "middle_name": "SARAH",
        "credential": "CASI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "13520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.