Individual provider Active NPI

Mary Elizabeth Kane, LMFT

  • Marriage & Family Therapist
  • Campbell, CA
National Provider Identifier
1093340218
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF20561 Issued in CA
Practice address
621 E Campbell Ave Ste 17
Campbell, CA 95008-2137
Phone
(408) 378-7868
Fax
(408) 378-1699
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF20561 CA Primary

Addresses

Primary practice location

621 E Campbell Ave Ste 17
Campbell, CA 95008-2137

Mailing address

204 Mt. View Avenue
San Jose, CA 95127-2244
Phone (408) 221-8032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 2, 2025 through Sep 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MF20561CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1093340218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MT. VIEW AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272244",
            "telephone_number": "408-221-8032",
            "fax_number": "408-378-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE STE 17",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082137",
            "telephone_number": "408-378-7868",
            "fax_number": "408-378-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MF20561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.