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MR. LUIS ANTHONY PROVENCIO
NPI 1750691887
Counselor - Addiction (Substance Use Disorder) in Bakersfield, CA

Active since October 07, 2010
1018 21ST ST, BAKERSFIELD, CA 93301(661) 861-9967 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Luis Anthony Provencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LUIS ANTHONY PROVENCIO (NPI 1750691887) is an individual addiction (substance use disorder) provider in Bakersfield, California and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1750691887
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. LUIS ANTHONY PROVENCIO
Location Address1018 21ST STBakersfield, CA 93301-4709
Mailing Address1018 21st StBakersfield, CA 93301-4709 · (661) 861-9967
Phone(661) 861-9967
Sole ProprietorYes
Enumeration DateOctober 7, 2010
✔ NPI 1750691887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1018 21ST ST, Bakersfield, CA 93301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH NICOLE DURBIN
Counselor (Addiction (Substance Use Disorder))
1018 21ST ST
BAKERSFIELD, CA 93301
Kern County (661) 861-9967
LISA GAGE
Counselor (Addiction (Substance Use Disorder))
1018 21ST ST
BAKERSFIELD, CA 93301
Kern County (661) 861-9967
MS. CYNTHIA ENRIQUEZ
Counselor (Addiction (Substance Use Disorder))
1018 21ST ST
BAKERSFIELD, CA 93301
Kern County (661) 861-9967
MARIA SARA MOSQUEDA
Licensed Vocational Nurse
1018 21ST ST
BAKERSFIELD, CA 93301
Kern County (661) 861-9967
TENAYA ROCHELLE WILLIAMS
Counselor (Addiction (Substance Use Disorder))
1018 21ST ST
BAKERSFIELD, CA 93301
Kern County (661) 322-0965
JENAE DANIELLE ALEXANDER
Counselor (Addiction (Substance Use Disorder))
1018 21ST ST
BAKERSFIELD, CA 93301
Kern County (661) 861-9967
JESSICA ARELE FUENTES LVN
Licensed Vocational Nurse
1018 21ST ST
BAKERSFIELD, CA 93301
Kern County (661) 861-9967
HOWARD ACOSTA MSW, ASW
Counselor (Addiction (Substance Use Disorder))
1018 21ST ST
BAKERSFIELD, CA 93301
Kern County (661) 861-9967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Provencio's NPI number?

The NPI number for Luis Provencio is 1750691887. It was assigned to this individual provider in the NPPES registry on October 7, 2010.

Where is Luis Provencio located?

Luis Provencio practices at 1018 21st St, Bakersfield, CA 93301. The listed phone number is (661) 861-9967.

What is Luis Provencio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Luis Provencio was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.