Individual provider Active NPI

Kathleen Irene Grealy Sarmiento, DSW, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1366733388
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 84329 Issued in CA
Practice address
3400 Central Ave Ste 215
Riverside, CA 92506-2175
Phone
(951) 934-8944
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 84329 CA Primary

Addresses

Primary practice location

3400 Central Ave Ste 215
Riverside, CA 92506-2175

Mailing address

3400 Central Ave Ste 215
Riverside, CA 92506-2176
Phone (951) 934-8944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308002991 CA Practitioner - Marriage and Family Therapist 4587000807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 84329CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transformational Family Counseling PC Marriage & Family Therapist CurrentSince Jan 15, 2024 Accepting new patients

Locations

3400 Central Ave
Ste 215
Riverside, CA 92506
Phone (951) 934-8944

3400 Central Ave
Ste 310
Riverside, CA 92506
Phone (951) 275-3756

3745 McCray St
Riverside, CA 92506
Phone (909) 557-0469

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1366733388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CENTRAL AVE STE 215",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062176",
            "telephone_number": "951-934-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CENTRAL AVE STE 215",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062175",
            "telephone_number": "951-934-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "KATHLEEN",
        "middle_name": "IRENE GREALY",
        "name_prefix": "Dr.",
        "credential": "DSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 84329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.