Individual provider Active NPI

Brian Kimball Kay, MFT, LPCC

  • Professional Counselor
  • Orinda, CA
National Provider Identifier
1356835250
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC685 Issued in CA
Practice address
23 Altarinda Rd Ste 102
Orinda, CA 94563-2600
Phone
(925) 360-1802
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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 LMFT53687 CA
Professional Counselor 101YP2500X LPCC685 CA Primary

Addresses

Primary practice location

23 Altarinda Rd Ste 102
Orinda, CA 94563-2600

Mailing address

23 Altarinda Rd Ste 102
Orinda, CA 94563-2600
Phone (925) 360-1802

Other identifiers 1

IdentifierTypeStateIssuer
LPCC685OtherCALPCC LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 7, 2024 through Oct 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC685CAMDProfessional Counselor
LMFT53687CAMDMarriage & Family Therapist
53687CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1356835250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ALTARINDA RD STE 102",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632600",
            "telephone_number": "925-360-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ALTARINDA RD STE 102",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632600",
            "telephone_number": "925-360-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "BRIAN",
        "middle_name": "KIMBALL",
        "credential": "MFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT53687",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCC LICENSE NUMBER",
            "identifier": "LPCC685",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.