Individual provider Active NPI

Kira Sue Kayler, MFC 46211

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1245375393
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT46211 Issued in CA
Practice address
5233 San Luis Ave
Santa Rosa, CA 95409-2804
Phone
(415) 497-8780
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 46211 CA
Marriage & Family Therapist 106H00000X LMFT46211 CA Primary

Addresses

Primary practice location

5233 San Luis Ave
Santa Rosa, CA 95409-2804

Mailing address

2567 Bellevue RNCH
Santa Rosa, CA 95407-5024
Phone (415) 497-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240406000253 CA Practitioner - Mental Health Counselor 2769833763 Practice locations: Rohnert Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Padre Pkwy
Suite 302a
Rohnert Park, CA 94928-2116
Phone (707) 387-5187

5233 San Luis Ave
Santa Rosa, CA 95409-2804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46211CAMDMarriage & Family Therapist
LMFT46211CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kira S. Kayler Marriage & Family Therapist CurrentSince Dec 31, 2018 Accepting new patients
Windows Health Corporation Mental Health Past Accepting new patients

Locations

2 Padre Pkwy
Ste 302A
Rohnert Park, CA 94928
Phone (707) 236-5574

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1245375393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 BELLEVUE RNCH",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075024",
            "telephone_number": "415-497-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 SAN LUIS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092804",
            "telephone_number": "415-497-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYLER",
        "first_name": "KIRA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MFC 46211",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "46211",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT46211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.