NPIMap

Organization Active NPI

Kaila Hattis

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1245993559
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KAILA HATTIS
Practice address
501 Soquel Ave Ste I
Santa Cruz, CA 95062-2386
Phone
(831) 687-9555
NPI assigned
Oct 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Kaila Rose Hattis, LMFT #126526NPI 1932621513
Title
Founder, Director
Phone
(831) 332-3784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

501 Soquel Ave Ste I
Santa Cruz, CA 95062-2386

Mailing address

501 Soquel Ave Ste I
Santa Cruz, CA 95062-2386
Phone (831) 687-9555

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherOUT OF POCKET

Other names 1

  • Pacific Coast Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@pacificcoasttherapy.com Direct

National Provider Directory

National Provider Directory

Locations

501 Soquel Ave
Ste I
Santa Cruz, CA 95062
Phone (831) 687-9555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1245993559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SOQUEL AVE STE I",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622386",
            "telephone_number": "831-687-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOQUEL AVE STE I",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622386",
            "telephone_number": "831-687-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILA HATTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "HATTIS",
        "authorized_official_first_name": "KAILA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "FOUNDER, DIRECTOR",
        "authorized_official_telephone_number": "831-332-3784",
        "authorized_official_credential": "LMFT #126526"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF POCKET",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@pacificcoasttherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "501 Soquel Ave Ste I",
            "city": "Santa Cruz",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950622386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pacific Coast Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.