Individual provider Active NPI

Mesha Muwanga, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1912263070
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF78640 Issued in CA
Practice address
4949 Buckley Way Ste 113
Bakersfield, CA 93309-4881
Phone
(661) 735-5450
Fax
(661) 735-5451
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 112381 CA
Marriage & Family Therapist 106H00000X
Adult Mental Health Clinic/Center 261QM0850X 112381 CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X IMF78640 CA Primary

Addresses

Primary practice location

4949 Buckley Way Ste 113
Bakersfield, CA 93309-4881

Mailing address

5701 Edgemont Dr
Bakersfield, CA 93309-5765
Phone (661) 735-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231001100 CA Practitioner - Marriage and Family Therapist 7315324175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1520 Niles St
Bakersfield, CA 93305-4806
Phone (661) 374-4921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF78640CAMDMarriage & Family Therapist
112381CAMDAdult Mental Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Rhema Therapy Inc Addiction (Substance Use Disorder) CurrentSince Mar 27, 2019 Accepting new patients

Locations

4949 Buckley Way
Ste 113
Bakersfield, CA 93309
Phone (661) 735-5450

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1912263070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 EDGEMONT DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095765",
            "telephone_number": "661-735-5450",
            "fax_number": "661-735-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 BUCKLEY WAY STE 113",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094881",
            "telephone_number": "661-735-5450",
            "fax_number": "661-735-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUWANGA",
        "first_name": "MESHA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "112381",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "112381",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF78640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.