K and E Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

K AND E THERAPY

Practice address

360 Mobil Ave Ste 102a
Camarillo, CA 93010-6356

Phone

(661) 903-2591

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly D. Smith, AMFT

Title

Co-Founder

Phone

(661) 428-3647

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Sophia Rodriguez, MA, MFTI #99833

  • Mental Health Counselor
  • Camarillo, CA
  • NPI 1679093751
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1255917738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 WALKER AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106538",
            "telephone_number": "661-428-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MOBIL AVE STE 102A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106356",
            "telephone_number": "661-903-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND E THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "661-428-3647",
        "authorized_official_credential": "AMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225336563",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilywalshaw@me.com",
            "affiliation": "N",
            "endpointDescription": "secure documetation system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient information",
            "address_1": "360 Mobil Ave Ste 102A",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930106356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Juchniewicz, LVN
• Julie Petyak-Ryan, M.S., L.Ac., Inc
• Julie Tran Nguyen MD Inc
• Allison Junod, SP/L
• Candice Renee Justus
• James Alexander Kadin, M.D.
• Gregory Kaganovsky, PT, DPT
• Kaiser Foundation Health Plan Inc
• Mary Kaldas
• Kevin Kane

• Mental Health Counselor in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.