Kayla Anne Karesh, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT48030 Issued in CA

Practice address

4520 Executive Dr Ste 225
San Diego, CA 92121-3094

Phone

(858) 202-1822

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roybal MD Chemical Dependence Treatment Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
  • NPI 1093143430
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1346370848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213094",
            "telephone_number": "858-202-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARESH",
        "first_name": "KAYLA",
        "middle_name": "ANNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT48030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkaresh@truelifewellbeing.com",
            "affiliation": "N",
            "address_1": "4520 Executive Dr Ste 225",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921213094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.