Individual provider Active NPI

Teresa Donchae Titus, CADC-CAS

  • Addiction (Substance Use Disorder) Counselor
  • Bakersfield, CA
National Provider Identifier
1871986711
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C27011214 Issued in CA
Practice address
2901 S H Street
Bakersfield, CA 93304-5602
Phone
(661) 398-4303
Fax
(661) 321-3125
NPI assigned
Mar 17, 2015
Last updated
Mar 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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 C27011214 CA Primary

Addresses

Primary practice location

2901 S H Street
Bakersfield, CA 93304-5602

Mailing address

2901 S H Street
Bakersfield, CA 93304-5602
Phone (661) 398-4303

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
C27011214CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1871986711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S H STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933045602",
            "telephone_number": "661-398-4303",
            "fax_number": "661-321-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S H STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933045602",
            "telephone_number": "661-398-4303",
            "fax_number": "661-321-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "TERESA",
        "middle_name": "DONCHAE",
        "credential": "CADC-CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C27011214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.