Individual provider Active NPI

Kelly Jo Kliman, LMFT

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1154021590
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135006 Issued in CA
Practice address
763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400
Phone
(650) 575-6889
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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 135006 CA Primary

Addresses

Primary practice location

763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400

Mailing address

310 Waverly LN
Los Altos, CA 94022-3756
Phone (650) 575-6889

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

LicenseStateTypeSpecialty
135006CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1154021590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WAVERLY LN",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223756",
            "telephone_number": "650-575-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 ALTOS OAKS DR STE 2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245400",
            "telephone_number": "650-575-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMAN",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.