Active NPI
Brian Kypta, MA, LMFT
- Marriage & Family Therapist
- El Dorado Hills, CA
National Provider Identifier
1275899098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 82219
- Practice address
- 4995 Golden Foothill Pkwy
Suite 2
El Dorado Hills, CA 95762-9645 - Phone
- (916) 850-5084
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 82219 | CA | Primary |
Addresses
Primary practice location
4995 Golden Foothill Pkwy
Suite 2
El Dorado Hills, CA 95762-9645
Mailing address
105 Fantages Way
Folsom, CA 95630-8145
Phone (916) 850-5084
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82219 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1275899098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FANTAGES WAY",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308145",
"telephone_number": "916-850-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4995 GOLDEN FOOTHILL PKWY",
"address_2": "SUITE 2",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629645",
"telephone_number": "916-850-5084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYPTA",
"first_name": "BRIAN",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "82219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.