Individual provider Active NPI

Kailie Christine Barnes

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1093362584
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT120531 Issued in CA
Practice address
1426 Fillmore St Ste 216
San Francisco, CA 94115-4164
Phone
(909) 732-3850
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 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 AMFT120531 CA Primary

Addresses

Primary practice location

1426 Fillmore St Ste 216
San Francisco, CA 94115-4164

Mailing address

1426 Fillmore St Ste 216
San Francisco, CA 94115-4164

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724002027 CA Practitioner - Marriage and Family Therapist 2163968363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masonic Homes of CaliforniaGroup PAC ID 4183625361, 7 clinicians

Practice addresses (Care Compare)

34400 Mission Blvd
Union City, CA 94587-3604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT120531CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Masonic Homes of California CurrentSince Jun 17, 2024 Accepting new patients
Masonic Homes of California CurrentSince Jun 17, 2024 Accepting new patients
Masonic Homes of California Past Accepting new patients

Locations

1111 California St
San Francisco, CA 94108

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1093362584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 FILLMORE ST STE 216",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 FILLMORE ST STE 216",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154164",
            "telephone_number": "909-732-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KAILIE",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT120531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.