Active NPI
Robert Alan Kesselring, MA, LPC, MFTI
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1134308463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1500 North a Street
Sacramento, CA 95814-0712 - Phone
- (916) 440-1500
- Fax
- (916) 440-1514
- NPI assigned
- Nov 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401009133 | MI | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1500 North a Street
Sacramento, CA 95814-0712
Mailing address
PO Box 221096
Sacramento, CA 95822-8096
Phone (734) 255-4485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63176 | Other | CA | MARRIAGE AND FAMILY THERAPIST INTERN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009133 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of the Matter Counseling | Marriage & Family Therapist | 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.
-
- Marriage & Family Therapist
- Sacramento, CA
- NPI 1023633955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1134308463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221096",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958228096",
"telephone_number": "734-255-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NORTH A STREET",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958140712",
"telephone_number": "916-440-1500",
"fax_number": "916-440-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSELRING",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MA, LPC, MFTI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-02",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401009133",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE AND FAMILY THERAPIST INTERN",
"identifier": "63176",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.