Individual provider Active NPI

Kaleena E Prate, LMFT

  • Marriage & Family Therapist
  • Fallbrook, CA
National Provider Identifier
1124502281
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85087 Issued in CA
Practice address
43211 Cinco Arroyos
Fallbrook, CA 92028-8043
Phone
(310) 482-1401
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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 85087 CA Primary

Addresses

Primary practice location

43211 Cinco Arroyos
Fallbrook, CA 92028-8043

Mailing address

43211 Cinco Arroyos
Fallbrook, CA 92028-8043
Phone (310) 482-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85087CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleena Prate Licensed Marriage & Family Therapist, Inc. CurrentSince Oct 11, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1124502281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43211 CINCO ARROYOS",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920288043",
            "telephone_number": "310-482-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43211 CINCO ARROYOS",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920288043",
            "telephone_number": "310-482-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATE",
        "first_name": "KALEENA",
        "middle_name": "E",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.