Kathleen Ann Colao, LMFT, RDN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86967 Issued in CA

Practice address

2721 E Coast Hwy
Corona del Mar, CA 92625-2109

Phone

(949) 800-9797

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1184006264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RUE FONTAINBLEAU",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605926",
            "telephone_number": "949-800-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 E COAST HWY",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252109",
            "telephone_number": "949-800-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAO",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMFT, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86967",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Audiology, Apc
• Coast Hearing Aid Center
• Coast Hearing Services, a Professional Corp
• Donna Felker Cody, M.S.
• Maxine Beth Cohen, MFT
• Andrea Marie Colon, ND
• Eulalia Cortez
• Micah Crowley, D.M.D.
• Ellen Dale, PT, DPT
• Nori Deatherage

• Marriage & Family Therapist in Corona del Mar, CA
• Providers in Corona del Mar, 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 Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.