Organization Active NPI

Kemp Individual & Family Therapy, Inc.

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1043759491
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 51919 Issued in CA
Legal business name
KEMP INDIVIDUAL & FAMILY THERAPY, INC.
Practice address
20786 Bear Valley Rd Ste I
Apple Valley, CA 92308-6909
Phone
(619) 742-9479
Fax
(760) 254-9904
NPI assigned
Feb 17, 2017
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Mrs. Mary Shannon Kemp, LMFTNPI 1568868289
Title
Owner/Vice President
Phone
(619) 742-9479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 51919 CA Primary

Addresses

Primary practice location

20786 Bear Valley Rd Ste I
Apple Valley, CA 92308-6909

Mailing address

9979 Mockingbird Ave
Apple Valley, CA 92308-8302
Phone (619) 742-9479

National Provider Directory

National Provider Directory

Locations

20786 Bear Valley Rd
Ste I
Apple Valley, CA 92308
Phone (619) 742-9479

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1043759491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9979 MOCKINGBIRD AVE",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088302",
            "telephone_number": "619-742-9479",
            "fax_number": "760-254-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20786 BEAR VALLEY RD STE I",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923086909",
            "telephone_number": "619-742-9479",
            "fax_number": "760-254-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMP INDIVIDUAL & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "619-742-9479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 51919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.