Active NPI
Kathleen Grace Muir, MFTI
- Marriage & Family Therapist
- Alpine, CA
National Provider Identifier
1093009334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 52081
- Practice address
- 2710 Alpine Blvd
Alpine, CA 91901-2276 - Phone
- (619) 873-7738
- Fax
- (619) 324-4154
- NPI assigned
- Jun 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 52081 | CA | Primary |
Addresses
Primary practice location
2710 Alpine Blvd
Alpine, CA 91901-2276
Mailing address
PO Box 881654
San Diego, CA 92168-1654
Phone (619) 873-7738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118003932 | CA | Practitioner - Marriage and Family Therapist | 1658723226 | Practice locations: Alpine, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52081 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1093009334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 881654",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921681654",
"telephone_number": "619-873-7738",
"fax_number": "619-324-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 ALPINE BLVD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919012276",
"telephone_number": "619-873-7738",
"fax_number": "619-324-4154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUIR",
"first_name": "KATHLEEN",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.