Active NPI
Kealailani Lee
- Counselor
- Daly City, CA
National Provider Identifier
1326188962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00148919
- Practice address
- 2 Edgewood CT
Daly City, CA 94014-1841 - Phone
- (650) 994-7110
- Fax
- (650) 994-7180
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00148919 | CA | Primary |
Addresses
Primary practice location
2 Edgewood CT
Daly City, CA 94014-1841
Mailing address
510 Walker Dr
Apt. #5
Mountain View, CA 94043-3679
Phone (408) 744-1776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00148919 | Other | CA | MFT INTERN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00148919 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caminar | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Daly City, CA
- NPI 1326186420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326188962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 WALKER DR",
"address_2": "APT. #5",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940433679",
"telephone_number": "408-744-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EDGEWOOD CT",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940141841",
"telephone_number": "650-994-7110",
"fax_number": "650-994-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KEALAILANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "00148919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT INTERN",
"identifier": "00148919",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daly City, 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.