Individual provider Active NPI

Kathleen Fenn

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1124470117
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93378 Issued in CA
Practice address
5555 Business Park S Ste 200
Bakersfield, CA 93309-1678
Phone
(661) 599-5593
Fax
(661) 325-2031
NPI assigned
Jul 1, 2016
Reactivated
Jun 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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
Marriage & Family Therapist 106H00000X 93378 CA Primary

Addresses

Primary practice location

5555 Business Park S Ste 200
Bakersfield, CA 93309-1678

Mailing address

2212 F St
Bakersfield, CA 93301-3828
Phone (661) 599-5593

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen C Fenn Marriage and Family Therapy Inc. Marriage & Family Therapist CurrentSince Jun 8, 2025 Accepting new patients

Locations

5555 Business Park S
Ste 200
Bakersfield, CA 93309
Phone (661) 345-6471

2212 F St
Bakersfield, CA 93301
Phone (661) 325-0646

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.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1124470117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 F ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013828",
            "telephone_number": "661-599-5593",
            "fax_number": "661-325-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 BUSINESS PARK S STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091678",
            "telephone_number": "661-599-5593",
            "fax_number": "661-325-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "deactivation_date": "2025-04-18",
        "reactivation_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.