Individual provider Active NPI

Keshia Corona Haro, SUDRC

  • Addiction (Substance Use Disorder) Counselor
  • Lompoc, CA
National Provider Identifier
1801563887
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
106 S C St Ste C
Lompoc, CA 93436-7339
Phone
(805) 741-4266
NPI assigned
Aug 26, 2021
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12431 CA
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

106 S C St Ste C
Lompoc, CA 93436-7339

Mailing address

2109 Hermosa CT
Lompoc, CA 93436-6313
Phone (619) 836-2192

Other practice location 1

4124 Odie Ln
Santa Maria, CA 93455-3109
Phone (805) 938-0125

Other practice location 2

2049 Skyline Dr
Lemon Grove, CA 91945-4221
Phone (619) 442-0277

Other practice location 3

3767 Central Ave
San Diego, CA 92105-2599
Phone (619) 584-4010 ext. 116

Other practice location 4

425 Mooncrest Ln
Santa Maria, CA 93455-3765
Phone (805) 937-5920

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hesed Christian Ministries CurrentSince Feb 1, 2025 Accepting new patients
Stepping Stone of San Diego, Inc. Past Accepting new patients
Changing Faces Inc Addiction (Substance Use Disorder) PastSince Dec 1, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1801563887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HERMOSA CT",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366313",
            "telephone_number": "619-836-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S C ST STE C",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367339",
            "telephone_number": "805-741-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4124 Odie Ln",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934553109",
            "country_code": "US",
            "telephone_number": "805-938-0125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2049 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919454221",
            "country_code": "US",
            "telephone_number": "619-442-0277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3767 Central Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921052599",
            "country_code": "US",
            "telephone_number": "619-584-4010 x116",
            "fax_number": "619-278-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Mooncrest Ln",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934553765",
            "country_code": "US",
            "telephone_number": "805-937-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORONA HARO",
        "first_name": "KESHIA",
        "credential": "SUDRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12431",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.