Individual provider Active NPI

Kathryne Zabinski Miller, LCSW

  • Mental Health Counselor
  • Camarillo, CA
National Provider Identifier
1114309200
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW80696 Issued in CA
Practice address
771 E Daily Dr Ste 310
Camarillo, CA 93010-0784
Phone
(323) 459-4968
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW80696 CA Primary

Addresses

Primary practice location

771 E Daily Dr Ste 310
Camarillo, CA 93010-0784

Mailing address

771 E Daily Dr Ste 310
Camarillo, CA 93010-0784
Phone (805) 419-5575

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
I20210326000907 CA Practitioner - Clinical Social Worker 6204243884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW80696CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Minds Psychological Corporation CurrentSince Feb 3, 2021 Accepting new patients
Aspira Foster & Family Services - Ventura PastSince Jul 1, 2022 Accepting new patients

Locations

771 E Daily Dr
Ste 310
Camarillo, CA 93010
Phone (323) 459-4968

16800 Devonshire St
Ste 301
Granada Hills, CA 91344
Phone (323) 459-4968

Organizations & group practices 2

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1114309200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E DAILY DR STE 310",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100784",
            "telephone_number": "805-419-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E DAILY DR STE 310",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100784",
            "telephone_number": "323-459-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHRYNE",
        "middle_name": "ZABINSKI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW80696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.