Seeds of Change Therapy Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SEEDS OF CHANGE THERAPY CENTER

Practice address

110 S Montclair St Ste 106
Bakersfield, CA 93309-3118

Phone

(661) 525-3500

Fax

(661) 525-3515

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Krissy Bynum, LCSWNPI 1376839175

Title

Therapist

Phone

(661) 525-3500

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krissy Bynum, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
  • NPI 1376839175
  NPD Authorized official
• Gianna Flores Heatherly

  • Marriage & Family Therapist
  • Bakersfield, CA
  • NPI 1770926016
  NPD (past)

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1841022696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MONTCLAIR ST STE 106",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093118",
            "telephone_number": "661-525-3500",
            "fax_number": "661-525-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MONTCLAIR ST STE 106",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093118",
            "telephone_number": "661-525-3500",
            "fax_number": "661-525-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF CHANGE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "KRISSY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "661-525-3500",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Sebastian-Barreto
• Mark Sebok
• Andrea Bourbon Sebreros
• John Sebreros
• Connie Marie Sedano
• Chirstopher Clark Seeley, DC
• Lillian Anom Sefa
• Rosa Segundo
• Carlos Segura
• Siomara Segura

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.