Active NPI
Kelsey Waesche
- Marriage & Family Therapist
- Agoura Hills, CA
National Provider Identifier
1194440487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 28310 Roadside Dr Ste 254
Agoura Hills, CA 91301-4966 - Phone
- (747) 888-0378
- NPI assigned
- Oct 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
28310 Roadside Dr Ste 254
Agoura Hills, CA 91301-4966
Mailing address
815 Country Valley Rd
Westlake Village, CA 91362-5637
Phone (410) 949-5357
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Creek Family Counseling Inc | Current | Accepting new patients |
Locations
28310 Roadside Dr
Ste 254
Agoura Hills, CA 91301
Phone (747) 248-7638
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Agoura Hills, CA
- NPI 1598563355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1194440487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 COUNTRY VALLEY RD",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913625637",
"telephone_number": "410-949-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28310 ROADSIDE DR STE 254",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014966",
"telephone_number": "747-888-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAESCHE",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.