Individual provider Active NPI

Alia Michelle Harlan Kaneaiakala, LMFT 49798

  • Marriage & Family Therapist
  • Collierville, TN
National Provider Identifier
1033375225
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49798 Issued in CA
Practice address
268 W White Rd
Collierville, TN 38017-2126
Phone
(213) 361-9302
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 49798 CA Primary

Addresses

Primary practice location

268 W White Rd
Collierville, TN 38017-2126

Mailing address

268 W White Rd
Collierville, TN 38017-2126
Phone (213) 361-9302

Other practice location 1

2384 Newport Blvd
Costa Mesa, CA 92627-1549
Phone (949) 554-0668

Other names 1

  • Alia Michelle Harlan Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1033375225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 W WHITE RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172126",
            "telephone_number": "213-361-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 W WHITE RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172126",
            "telephone_number": "213-361-9302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2384 Newport Blvd",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926271549",
            "country_code": "US",
            "telephone_number": "949-554-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLAN KANEAIAKALA",
        "first_name": "ALIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "LMFT 49798",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIA",
            "last_name": "HARLAN",
            "middle_name": "MICHELLE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.