Individual provider Active NPI

Raymond Allen Stabenfeldt, RADT 1

  • Addiction (Substance Use Disorder) Counselor
  • Bakersfield, CA
National Provider Identifier
1962933937
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2001 28TH St
Bakersfield, CA 93301-1924
Phone
(661) 868-7572
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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 Primary

Addresses

Primary practice location

2001 28TH St
Bakersfield, CA 93301-1924

Mailing address

2001 28TH St
Bakersfield, CA 93301-1924
Phone (661) 868-7572

Other practice location 1

2151 College Ave
Bakersfield, CA 93305-4113
Phone (661) 868-8080

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

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1962933937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011924",
            "telephone_number": "661-868-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011924",
            "telephone_number": "661-868-7572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 College Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933054113",
            "country_code": "US",
            "telephone_number": "661-868-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STABENFELDT",
        "first_name": "RAYMOND",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "RADT 1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "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 8, 2019; 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.