Kathryn Anderson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT22724 Issued in CA

Practice address

3986 Azalea Ave
Sebastopol, CA 95472-5703

Phone

(707) 585-6826

Fax

(707) 523-2937

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1164844742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 AZALEA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954725703",
            "telephone_number": "707-585-6826",
            "fax_number": "707-523-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 AZALEA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954725703",
            "telephone_number": "707-585-6826",
            "fax_number": "707-523-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT22724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amitabha Medical Clinic & Healing Center
• Irene Ammar
• Danielle Laura Amorelli, LMFT
• Kara Andersen
• Kathleen Andersen, M.D.
• Andrea E Kirk PHD
• Charles Philip Andrews
• Allie M Andrus McCann, MFT, ATR-BC
• Holly Anton, PH.D.
• Muoi M Arnold, MD

• Marriage & Family Therapist in Sebastopol, CA
• Providers in Sebastopol, 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 Jan 15, 2014; 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.