Individual provider Active NPI

Kathleen Parkinson McConnell, LMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1295150670
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT31451 Issued in CA
Practice address
4283 Piedmont Ave Ste E8
Oakland, CA 94611-4764
Phone
(510) 652-1902
Fax
(510) 652-1902
NPI assigned
Feb 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 LMFT31451 CA Primary

Addresses

Primary practice location

4283 Piedmont Ave Ste E8
Oakland, CA 94611-4764

Mailing address

4283 Piedmont Ave Ste E8
Oakland, CA 94611-4764
Phone (510) 652-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 14, 2024 through Jan 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31451CAMDClinical Psychologist
LMFT31451CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1295150670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE STE E8",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114764",
            "telephone_number": "510-652-1902",
            "fax_number": "510-652-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE STE E8",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114764",
            "telephone_number": "510-652-1902",
            "fax_number": "510-652-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "KATHLEEN",
        "middle_name": "PARKINSON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT31451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.