Individual provider Active NPI

Kaera Elan Spencer-Peterson

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1194665729
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT161447 Issued in CA
Practice address
3695 Alamo St
Simi Valley, CA 93063-2188
Phone
(805) 842-1994
NPI assigned
Mar 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X AMFT161447 CA Primary

Addresses

Primary practice location

3695 Alamo St
Simi Valley, CA 93063-2188

Mailing address

3695 Alamo St
Simi Valley, CA 93063-2188
Phone (805) 842-1994

Other practice location 1

25 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361-1009
Phone (805) 842-3304

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

State licenses

LicenseStateTypeSpecialty
AMFT161447CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1194665729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 ALAMO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632188",
            "telephone_number": "805-842-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 ALAMO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632188",
            "telephone_number": "805-842-1994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Rolling Oaks Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611009",
            "country_code": "US",
            "telephone_number": "805-842-3304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER-PETERSON",
        "first_name": "KAERA",
        "middle_name": "ELAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT161447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.