Individual provider Active NPI

Kristen Cummins

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1346004496
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44931 Issued in CA
Practice address
5655 Lindero Canyon Rd Ste 623
Westlake Village, CA 91362-4052
Phone
(805) 405-3482
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT44931 CA
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 44931 CA Primary

Addresses

Primary practice location

5655 Lindero Canyon Rd Ste 623
Westlake Village, CA 91362-4052

Mailing address

5655 Lindero Canyon Rd Ste 623
Westlake Village, CA 91362-4052
Phone (805) 405-3482

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 28, 2024 through Jan 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44931CAMDMarriage & Family Therapist
MFT44931CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1346004496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD STE 623",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624052",
            "telephone_number": "805-405-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD STE 623",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624052",
            "telephone_number": "805-405-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT44931",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.