Organization Active NPI

Kin Wellness, LLC

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
National Provider Identifier
1265246821
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIN WELLNESS, LLC
Practice address
8780 Warner Ave Ste 11
Fountain Valley, CA 92708-3210
Phone
(562) 544-8411
NPI assigned
Feb 4, 2025
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dakota K Gripp
Title
Ceo
Phone
(562) 544-8411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8780 Warner Ave Ste 11
Fountain Valley, CA 92708-3210

Mailing address

8780 Warner Ave Ste 11
Fountain Valley, CA 92708-3210
Phone (562) 544-8411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1265246821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 WARNER AVE STE 11",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083210",
            "telephone_number": "562-544-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 WARNER AVE STE 11",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083210",
            "telephone_number": "562-544-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "GRIPP",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-544-8411"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.