Individual provider Active NPI

Kenneth Adonis Brown

  • Marriage & Family Therapist
  • Lynwood, CA
National Provider Identifier
1336478650
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT127585 Issued in CA
Practice address
3680 E Imperial Hwy Ste And240
Lynwood, CA 90262-2659
Phone
(323) 769-7174
NPI assigned
Dec 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Rehabilitation Practitioner 225400000X
Marriage & Family Therapist 106H00000X AMFT127585 CA Primary

Addresses

Primary practice location

3680 E Imperial Hwy Ste And240
Lynwood, CA 90262-2659

Mailing address

3680 E Imperial Hwy Ste And240
Lynwood, CA 90262-2659
Phone (323) 769-7174

Other practice location 1

5300 Angeles Vista Blvd
View Park, CA 90043-1648
Phone (323) 295-4555

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

LicenseStateTypeSpecialty
AMFT127585CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1336478650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY STE AND240",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "323-769-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY STE AND240",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "323-769-7174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Angeles Vista Blvd",
            "address_purpose": "LOCATION",
            "city": "View Park",
            "state": "CA",
            "postal_code": "900431648",
            "country_code": "US",
            "telephone_number": "323-295-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KENNETH",
        "middle_name": "ADONIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT127585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.