Active NPI
Kathryn Anderson, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1134558471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94556
- Practice address
- 11848 Bernardo Plaza CT Ste 200
San Diego, CA 92128-2438 - Phone
- (858) 925-8316
- Fax
- (858) 815-6309
- NPI assigned
- Nov 7, 2013
- Last updated
- Dec 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 94556 | CA | Primary |
Addresses
Primary practice location
11848 Bernardo Plaza CT Ste 200
San Diego, CA 92128-2438
Mailing address
PO Box 500682
San Diego, CA 92150-0682
Phone (858) 925-8316
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1134558471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500682",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921500682",
"telephone_number": "858-925-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11848 BERNARDO PLAZA CT STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282438",
"telephone_number": "858-925-8316",
"fax_number": "858-815-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATHRYN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.