Active NPI
Larry Wayne Colbert, CADC-II
- Addiction (Substance Use Disorder) Counselor
- Lompoc, CA
National Provider Identifier
1801922182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A04150315
- Practice address
- 416 E Ocean Ave
Lompoc, CA 93436-6829 - Phone
- (805) 849-2318
- Fax
- (805) 849-2318
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- 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 | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A04150315 | CA | Primary |
Addresses
Primary practice location
416 E Ocean Ave
Lompoc, CA 93436-6829
Mailing address
1100 Union Ave
Bakersfield, CA 93307-1051
Phone (661) 861-6111
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 |
|---|---|---|---|
| A04150315 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Current | Accepting new patients | |
| Turning Point of Central California Inc. | Past | Accepting new patients |
Locations
416 E Ocean Ave
Lompoc, CA 93436
Phone (805) 849-2318
Organizations & group practices 2
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.
-
- Methadone Clinic
- Lompoc, CA
- NPI 1063273043
-
- Substance Abuse Rehabilitation Facility
- Bakersfield, CA
- NPI 1821202227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1801922182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 UNION AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933071051",
"telephone_number": "661-861-6111",
"fax_number": "661-861-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E OCEAN AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934366829",
"telephone_number": "805-849-2318",
"fax_number": "805-849-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "LARRY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "CADC-II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A04150315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lompoc, CA
- Coast Valley Worship Center
- Coast Valley Worship Center
- Coast Valley Worship Center
- Coastal Pain Solutions, Inc.
- Coastal Radiation Oncology Medical Group, Inc.
- Richard Sterling Collett, M.F.T.
- Laurie Colson-Young, M.A.
- Community Action Commission
- Community Action Commission of Santa Barbara County
- Community Action Commission of Santa Barbara County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.