Active NPI
Kathleen Diane Kenna
- Professional Counselor
- San Diego, CA
National Provider Identifier
1104012483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16367
- Practice address
- 734 10TH Ave
San Diego, CA 92101-6502 - Phone
- (619) 275-0822
- NPI assigned
- Sep 19, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16367 | CA | Primary |
Addresses
Primary practice location
734 10TH Ave
San Diego, CA 92101-6502
Mailing address
Community Research Foundation
1202 Morena Blvd., Ste 100
San Diego, CA 92110-3850
Phone (619) 275-0822
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 |
|---|---|---|---|
| 16367 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1104012483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMMUNITY RESEARCH FOUNDATION",
"address_2": "1202 MORENA BLVD., STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103850",
"telephone_number": "619-275-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 10TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016502",
"telephone_number": "619-275-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNA",
"first_name": "KATHLEEN",
"middle_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "16367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.