Active NPI
Kiana Jade Tinsley, LMHC
- Professional Counselor
- Carson, CA
National Provider Identifier
1083102719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6849
- Practice address
- 17915 Innovation
Carson, CA 90746-2851 - Phone
- (646) 712-6368
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008440-1 | NY | |
| Professional Counselor | 101YP2500X | 6849 | CA | Primary |
Addresses
Primary practice location
17915 Innovation
Carson, CA 90746-2851
Mailing address
69-10B 188TH Street
Apt 1a
Fresh Meadows, NY 11365
Phone (646) 712-6368
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008440-1 | NY | MD | Mental Health Counselor |
| 6849 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1083102719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69-10B 188TH STREET",
"address_2": "APT 1A",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "11365",
"telephone_number": "646-712-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17915 INNOVATION",
"city": "CARSON",
"state": "CA",
"postal_code": "907462851",
"telephone_number": "646-712-6368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINSLEY",
"first_name": "KIANA",
"middle_name": "JADE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008440-1",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "6849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.