Individual provider Active NPI

Keith James Barnett, LCSW

  • Clinical Social Worker
  • Red Bluff, CA
National Provider Identifier
1972764660
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70624 Issued in CA
Practice address
22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone
(530) 528-2342
NPI assigned
Jun 24, 2008
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 020573 CA
Mental Health Counselor 101YM0800X 70624 CA
Clinical Social Worker 1041C0700X 70624 CA Primary

Addresses

Primary practice location

22425 Sunbright Ave
Red Bluff, CA 96080-9741

Mailing address

PO Box 491750
Redding, CA 96049-1750
Phone (530) 736-8916

Other practice location 1

2135 Pine St
Redding, CA 96001-2690
Phone (530) 736-8916

Other practice location 2

756 Rio St
Red Bluff, CA 96080-3338
Phone (832) 538-5274

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
I20181115001218 CA Practitioner - Clinical Social Worker 5698029361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Creekside Counseling Center IncGroup PAC ID 1557683315, 16 clinicians
Native American Mental Health Services CorporationGroup PAC ID 5395072490, 62 clinicians

Practice addresses (Care Compare)

1170 Industrial St
Redding, CA 96002-0734
Phone (530) 722-9957

1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020573CAMDAddiction (Substance Use Disorder) Counselor
70624CAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling Center Inc CurrentSince Jun 7, 2019 Accepting new patients

Locations

1170 Industrial St
Redding, CA 96002
Phone (530) 722-9957

2135 Pine St
Redding, CA 96001
Phone (530) 276-0624

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1972764660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491750",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960491750",
            "telephone_number": "530-736-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22425 SUNBRIGHT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809741",
            "telephone_number": "530-528-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 Pine St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012690",
            "country_code": "US",
            "telephone_number": "530-736-8916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "756 Rio St",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960803338",
            "country_code": "US",
            "telephone_number": "832-538-5274",
            "fax_number": "530-690-5457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "KEITH",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "020573",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "70624",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

Verify at the official NPI Registry.