Individual provider Active NPI

Kathleen Erin Donahue, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1104117787
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53798 Issued in CA
Practice address
2333 Camino del Rio S
Suite 160
San Diego, CA 92108-3607
Phone
(619) 501-3466
Fax
(619) 550-4007
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 52376 CA
Marriage & Family Therapist 106H00000X 53798 CA Primary

Addresses

Primary practice location

2333 Camino del Rio S
Suite 160
San Diego, CA 92108-3607

Mailing address

2333 Camino del Rio S
Suite 160
San Diego, CA 92108-3607
Phone (619) 501-3466

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

LicenseStateTypeSpecialty
IMF 52376CAMDMarriage & Family Therapist
53798CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1104117787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S",
            "address_2": "SUITE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083607",
            "telephone_number": "619-501-3466",
            "fax_number": "619-550-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S",
            "address_2": "SUITE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083607",
            "telephone_number": "619-501-3466",
            "fax_number": "619-550-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "KATHLEEN",
        "middle_name": "ERIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 52376",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53798",
            "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 Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.