Active NPI
Denise Rochelle Trujillo, CCAPP R1310960618
- Addiction (Substance Use Disorder) Counselor
- Bakersfield, CA
National Provider Identifier
1982180832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1310960618
- Practice address
- 708 Lincoln St
Bakersfield, CA 93305-3711 - Phone
- (661) 869-1795
- Fax
- (661) 869-1794
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1310960618 | CA | Primary |
Addresses
Primary practice location
708 Lincoln St
Bakersfield, CA 93305-3711
Mailing address
PO Box 3218
Bakersfield, CA 93385-3218
Phone (661) 869-1795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1310960618 | Other | CCAPP REGISTRATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1310960618 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Recovery Services, Lincoln Street Retreat | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- Bakersfield, CA
- NPI 1699807503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1982180832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3218",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933853218",
"telephone_number": "661-869-1795",
"fax_number": "661-869-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 LINCOLN ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933053711",
"telephone_number": "661-869-1795",
"fax_number": "661-869-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "DENISE",
"middle_name": "ROCHELLE",
"credential": "CCAPP R1310960618",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1310960618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP REGISTRATION",
"identifier": "R1310960618",
"state": null
}
],
"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 Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.