Individual provider Active NPI

Kathleen Duncan, LMFT

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1104314400
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105707 Issued in CA
Practice address
25020 Las Brisas Rd Ste 207
Murrieta, CA 92562-4064
Phone
(951) 708-0363
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 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 105707 CA Primary

Addresses

Primary practice location

25020 Las Brisas Rd Ste 207
Murrieta, CA 92562-4064

Mailing address

23096 Blue Bird Dr
Canyon Lake, CA 92587-7556
Phone (951) 708-0363

Other practice location 1

24835 Split Rail Rd
Wildomar, CA 92595-8154
Phone (949) 525-3508

Other practice location 2

41870 Kalmia St Ste 155
Murrieta, CA 92562
Phone (951) 708-0363

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
105707CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Duncan CurrentSince Feb 9, 2020 Accepting new patients

Locations

25020 Las Brisas Rd
Ste 207
Murrieta, CA 92562
Phone (951) 520-5763

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1104314400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23096 BLUE BIRD DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877556",
            "telephone_number": "951-708-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25020 LAS BRISAS RD STE 207",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624064",
            "telephone_number": "951-708-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24835 Split Rail Rd",
            "address_purpose": "LOCATION",
            "city": "Wildomar",
            "state": "CA",
            "postal_code": "925958154",
            "country_code": "US",
            "telephone_number": "949-525-3508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41870 Kalmia St Ste 155",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "92562",
            "country_code": "US",
            "telephone_number": "951-708-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KATHLEEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.