Organization Active NPI

Kepp Family & Group Practice

  • Marriage & Family Therapist
  • Palm Desert, CA
National Provider Identifier
1316564339
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KEPP FAMILY & GROUP PRACTICE
Practice address
77564 Country Club Dr Ste 206
Palm Desert, CA 92211-6248
Phone
(310) 474-0676
NPI assigned
Jun 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Kimberly Skeens, PSYD, LMFTNPI 1710453683
Title
Owner
Phone
(310) 474-0676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

77564 Country Club Dr Ste 206
Palm Desert, CA 92211-6248

Mailing address

12011 San Vincente Blvd
408
Los Angeles, CA 90049

National Provider Directory

National Provider Directory

Locations

77564 Country Club Dr
Ste 206
Palm Desert, CA 92211
Phone (310) 474-0676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1316564339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VINCENTE BLVD",
            "address_2": "408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 206",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116248",
            "telephone_number": "310-474-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEPP FAMILY & GROUP PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "SKEENS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-474-0676",
        "authorized_official_credential": "PSYD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.