Provider Demographics
| NPI: | 1912355116 |
|---|---|
| Name: | COUNTY OF KERN |
| Entity type: | Organization |
| Organization Name: | COUNTY OF KERN |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | WILLIAM |
| Authorized Official - Middle Name: | P |
| Authorized Official - Last Name: | WALKER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LMFT |
| Authorized Official - Phone: | 661-868-6601 |
| Mailing Address - Street 1: | PO BOX 1000 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BAKERSFIELD |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 93302-1000 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 661-868-6601 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 3300 TRUXTUN AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | BAKERSFIELD |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 93301-3137 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 661-868-6601 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2016-05-27 |
| Last Update Date: | 2016-05-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | Group - Multi-Specialty |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
| No | 163WP0807X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent | Group - Multi-Specialty |
| No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 163WP0809X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health, Adult | Group - Multi-Specialty |
| No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty |