Individual provider Active NPI

Cheryl L Kehner

  • Marriage & Family Therapist
  • Martinez, CA
National Provider Identifier
1326306622
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105700 Issued in CA
Practice address
1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Phone
(925) 655-2420
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 99359 CA
Marriage & Family Therapist 106H00000X IMF66512 CA
Marriage & Family Therapist 106H00000X 105700 CA Primary

Addresses

Primary practice location

1340 Arnold Dr Ste 200
Martinez, CA 94553-4189

Mailing address

1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Phone (415) 203-7763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004342 CA Practitioner - Marriage and Family Therapist 3971947789 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105700CAMDClinical Social Worker
99359CAMDMarriage & Family Therapist
IMF66512CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince May 22, 2024 Accepting new patients
Contra Costa County Current Accepting new patients
Contra Costa County CurrentSince Jan 1, 2024 Accepting new patients
Contra Costa County Past Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1326306622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DR STE 200",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534189",
            "telephone_number": "415-203-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DR STE 200",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534189",
            "telephone_number": "925-655-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHNER",
        "first_name": "CHERYL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99359",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF66512",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.