Organization Active NPI

Kesem Inc

  • Addiction (Substance Use Disorder) Counselor
  • Encino, CA
National Provider Identifier
1831849413
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
KESEM INC
Practice address
17609 Ventura Blvd Ste 305
Encino, CA 91316-5130
Phone
(818) 571-9841
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Serena Jones
Title
Biller
Phone
(760) 822-0773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

17609 Ventura Blvd Ste 305
Encino, CA 91316-5130

Mailing address

17609 Ventura Blvd Ste 305
Encino, CA 91316-5130
Phone (818) 571-9841

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kesemtherapy.com

National Provider Directory

National Provider Directory

Locations

17609 Ventura Blvd
Ste 305
Encino, CA 91316
Phone (818) 571-9841

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1831849413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 305",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165130",
            "telephone_number": "818-571-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 305",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165130",
            "telephone_number": "818-571-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "760-822-0773"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kesemtherapy.com",
            "affiliation": "N",
            "address_1": "17609 Ventura Blvd Ste 305",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913165130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.