Individual provider Active NPI

Pamela J. Kesler, MFT

  • Marriage & Family Therapist
  • Auburn, CA
National Provider Identifier
1114036753
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37603 Issued in CA
Practice address
152 Maple Street, Unit C.
Auburn, CA 95603
Phone
(530) 888-7958
Fax
(530) 888-7999
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN244744 CA
Marriage & Family Therapist 106H00000X MFC37603 CA Primary

Addresses

Primary practice location

152 Maple Street, Unit C.
Auburn, CA 95603

Mailing address

152 Maple Street, Unit C.
Auburn, CA 95603-5008
Phone (530) 888-7958

Other practice location 1

1447 Lincoln Way
Auburn, CA 95603-5008
Phone (530) 888-7958

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
MFC37603CAMDMarriage & Family Therapist
RN244744CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1114036753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MAPLE STREET, UNIT C.",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035008",
            "telephone_number": "530-888-7958",
            "fax_number": "530-888-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MAPLE STREET, UNIT C.",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-888-7958",
            "fax_number": "530-888-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1447 Lincoln Way",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956035008",
            "country_code": "US",
            "telephone_number": "530-888-7958",
            "fax_number": "530-888-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESLER",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN244744",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.