Ashley Kimiko Ikeda

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120013 Issued in CA

Practice address

3010 Colby St Ste 221
Berkeley, CA 94705-2056

Phone

(510) 922-9757

Fax

(510) 922-9514

NPI assigned

Jul 9, 2015

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1003299926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MOSS AVE APT 20",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101300",
            "telephone_number": "415-225-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST STE 221",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052056",
            "telephone_number": "510-922-9757",
            "fax_number": "510-922-9514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1038 Post St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095603",
            "country_code": "US",
            "telephone_number": "415-775-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEDA",
        "first_name": "ASHLEY",
        "middle_name": "KIMIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120013",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icecreamwala Dermatology Inc
• Robert H. Iezman, D.D.S.
• Raymond E Ifield
• Gerald John Iglesias
• Allison Mayumi Ikeda, MFT
• Amanda Marie Ilag, AGNP
• Kristy L Illg, PT, ATC
• Michel Lynn Inaba, PH.D.
• Erin Inada, MS, CCC-SLP
• Inadvance Medicine Associates West, P.C (Passport Health)

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.