Samantha Robyn Kerdman, M.A.ED., M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105929 Issued in CA

Practice address

501 Marin St Ste 202
Thousand Oaks, CA 91360-4266

Phone

(805) 494-1414

Fax

(805) 426-8575

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Circle of Life Counseling Center

  • Marriage & Family Therapist
  • Thousand Oaks, CA
  • NPI 1568912541
  NPD (past)
• Mood Clinical, P. C.

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1922675644
  NPD (past)
• Sara Rector

  • Marriage & Family Therapist
  • Thousand Oaks, CA
  • NPI 1083078760
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1346672706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14343 MANGROVE ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213545",
            "telephone_number": "818-942-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARIN ST STE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604266",
            "telephone_number": "805-494-1414",
            "fax_number": "805-426-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERDMAN",
        "first_name": "SAMANTHA",
        "middle_name": "ROBYN",
        "name_prefix": "Miss",
        "credential": "M.A.ED., M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83016",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin Loh, MD. Facs.
• Robert G Kemmerling, PH.D
• Samantha Taylor Kennedy
• Kenneth L Saul MD, Inc.
• Kensington Physical Therapy
• Kailey Rebecca Kerstein, DPT
• Talia Keshishian, MD
• Charles Wesley Ketcham, D.D.S.
• Franky Kintaudi Keto
• Kevin P McNamee DC a Professional Chiropractic Corp

• Marriage & Family Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Apr 17, 2018; 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.