Kate Frances Fenech, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

134210 Issued in CA

Practice address

200 San Marlo Way Ste 4
Pacifica, CA 94044-3274

Phone

(530) 536-0563

NPI assigned

Jun 16, 2020

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kate Frances Reardon Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Fenech Enterprises, a Marriage & Family Therapy Corporation

  dba Deep Dive Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pacifica, CA
  • NPI 1215740337
  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1093330987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 GEARY BLVD # 230",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183316",
            "telephone_number": "650-815-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAN MARLO WAY STE 4",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443274",
            "telephone_number": "530-536-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENECH",
        "first_name": "KATE",
        "middle_name": "FRANCES",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT119806",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT119994",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "REARDON",
            "middle_name": "FRANCES",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evangelista Dental Group Pacifica, PC (Rockaway Beach Dental)
• Family Community Acupuncture
• Madison Nicole Fandel, N.D.
• Feel Good Compounders
• Fenech Enterprises, a Marriage & Family Therapy Corporation (Deep Dive Therapy)
• Katelyn Joy Fishtrom
• Beatriz Funes-Houseknecht
• Rachel Jenelle Gabriel
• Kelly Gahagan Noyes, M.S., CCC-SLP
• Lynn Gallo, MFT

• Marriage & Family Therapist in Pacifica, CA
• Providers in Pacifica, 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 Jan 31, 2025; 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.

Verify at the official NPI Registry.