Individual provider Active NPI

Kindra Laurel McCall, LMFT

  • Marriage & Family Therapist
  • Fair Oaks, CA
National Provider Identifier
1184432114
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152115 Issued in CA
Practice address
4088 Bridge St Ste 8
Fair Oaks, CA 95628-7144
Phone
(916) 474-9325
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 152115 CA Primary

Addresses

Primary practice location

4088 Bridge St Ste 8
Fair Oaks, CA 95628-7144

Mailing address

180 S Lexington Dr Apt 1024
Folsom, CA 95630-7016
Phone (707) 483-2102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 7, 2025 through Mar 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
152115CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1184432114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S LEXINGTON DR APT 1024",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307016",
            "telephone_number": "707-483-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 BRIDGE ST STE 8",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287144",
            "telephone_number": "916-474-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "KINDRA",
        "middle_name": "LAUREL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.