Active NPI
Anna Lynn Kern, MFT #37069
- Marriage & Family Therapist
- Emeryville, CA
National Provider Identifier
1124369848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT #37069
- Practice address
- 2354 Powell St
Suite a
Emeryville, CA 94608-1738 - Phone
- (510) 652-7445
- Fax
- (510) 652-9288
- NPI assigned
- Mar 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Marriage & Family Therapist | 106H00000X | MFT #37069 | CA | Primary |
Addresses
Primary practice location
2354 Powell St
Suite a
Emeryville, CA 94608-1738
Mailing address
2354 Powell St
Suite a
Emeryville, CA 94608-1738
Phone (510) 652-7445
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 |
|---|---|---|---|
| MFT #37069 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Intervention Association | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Oakland, CA
- NPI 1609199512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1124369848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 POWELL ST",
"address_2": "SUITE A",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081738",
"telephone_number": "510-652-7445",
"fax_number": "510-652-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2354 POWELL ST",
"address_2": "SUITE A",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081738",
"telephone_number": "510-652-7445",
"fax_number": "510-652-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "ANNA",
"middle_name": "LYNN",
"credential": "MFT #37069",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-05",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT #37069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.