Kevin Charles Spradlin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

129862 Issued in CA

Practice address

301 The City Dr S FL 2
Orange, CA 92868-3205

Phone

(657) 622-1602

NPI assigned

Sep 9, 2022

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1063133734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 THE CITY DR S FL 2",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683205",
            "telephone_number": "657-622-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 THE CITY DR S FL 2",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683205",
            "telephone_number": "657-622-1602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26312 Golada",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926923285",
            "country_code": "US",
            "telephone_number": "949-370-4152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Technology Dr Ste 118",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926182310",
            "country_code": "US",
            "telephone_number": "949-922-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "KEVIN",
        "middle_name": "CHARLES",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Spitzer, MD
• Nordy S Spivack, M.D.
• Rebecca Sponberg, NP
• Sports Conditioning and Rehabilitation of California Inc (Star Clinic)
• Sports Medicine Institute a Professional Physical Therapy Corp
• Heather Sprague
• Brianna Janine Spratt
• Jean E Sprengel, M.D.
• Crystal Springe, NTP
• Stafford Andrew Springer Sr.

• Marriage & Family Therapist in Orange, CA
• Providers in Orange, 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 Jun 22, 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.