Kalberg Marriage and Family Counseling PC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KALBERG MARRIAGE AND FAMILY COUNSELING PC

Practice address

7740 W Manchester Ave Ste 109
Playa del Rey, CA 90293-8449

Phone

(310) 592-4980

NPI assigned

Mar 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Marie Kalberg, LMFT

Title

Director/Owner

Phone

(310) 592-4980

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1164057451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 FALMOUTH AVE UNIT 103",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938797",
            "telephone_number": "310-592-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 W MANCHESTER AVE STE 109",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938449",
            "telephone_number": "310-592-4980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Yale St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904034774",
            "country_code": "US",
            "telephone_number": "310-592-4980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALBERG MARRIAGE AND FAMILY COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "KALBERG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "310-592-4980",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.westsidetherapycollective.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7740 W Manchester Ave Ste 109",
            "city": "Playa Del Rey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902938449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.