Individual provider Active NPI

Kathleen A Reid, M.S., M.F.T.

  • Marriage & Family Therapist
  • Coronado, CA
National Provider Identifier
1265534796
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC23142 Issued in CA
Practice address
138 B Ave
Coronado, CA 92118-1511
Phone
(619) 435-4388
Fax
(619) 435-2993
NPI assigned
Sep 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC23142 CA Primary

Addresses

Primary practice location

138 B Ave
Coronado, CA 92118-1511

Mailing address

550 G Ave
Coronado, CA 92118-1620
Phone (619) 435-4388

Other names 1

  • Karey Reid Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MFC23142CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265534796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 G AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181620",
            "telephone_number": "619-435-4388",
            "fax_number": "619-435-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 B AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181511",
            "telephone_number": "619-435-4388",
            "fax_number": "619-435-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "M.S., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC23142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREY",
            "last_name": "REID",
            "credential": "M.S., M.F.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.