Individual provider Active NPI

Kade Flach, MS, LMFT

  • Marriage & Family Therapist
  • Campbell, CA
National Provider Identifier
1225412679
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT106366 Issued in CA
Practice address
137 E Hamilton Ave Ste 205
Campbell, CA 95008-0244
Phone
(415) 841-3338
NPI assigned
Jul 15, 2015
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 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 LMFT106366 CA Primary

Addresses

Primary practice location

137 E Hamilton Ave Ste 205
Campbell, CA 95008-0244

Mailing address

PO Box 110334
Campbell, CA 95011-0334
Phone (415) 841-3338

Other identifiers 1

IdentifierTypeStateIssuer
LMFT106366OtherCALICENSE #

Other names 1

  • Kathleen Grace Flach Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMFT106366CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Of Two Minds Psychotherapy Marriage & Family Therapist CurrentSince Jul 1, 2020 Accepting new patients

Locations

137 E Hamilton Ave
Ste 205
Campbell, CA 95008
Phone (415) 841-3338

1190 S Bascom Ave
Ste 130
San Jose, CA 95128
Phone (408) 234-1405

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1225412679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110334",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950110334",
            "telephone_number": "415-841-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E HAMILTON AVE STE 205",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080244",
            "telephone_number": "415-841-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACH",
        "first_name": "KADE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT106366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "LMFT106366",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "FLACH",
            "middle_name": "GRACE",
            "credential": "MS, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.