Active NPI
Lena Kibble, MFT
- Mental Health Counselor
- Napa, CA
National Provider Identifier
1376576645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC-24252
- Practice address
- 3069 Solano Ave
Napa, CA 94558-4510 - Phone
- (707) 253-0535
- Fax
- (707) 588-9469
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC-24252 | CA | Primary |
Addresses
Primary practice location
3069 Solano Ave
Napa, CA 94558-4510
Mailing address
6647 Meadow Pines Drive
Rohnert Park, CA 94928
Phone (707) 584-1594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC-24252 | Other | CA | MARRIAGE THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC-24252 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1376576645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6647 MEADOW PINES DRIVE",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "94928",
"telephone_number": "707-584-1594",
"fax_number": "707-588-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 SOLANO AVE",
"city": "NAPA",
"state": "CA",
"postal_code": "945584510",
"telephone_number": "707-253-0535",
"fax_number": "707-588-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBBLE",
"first_name": "LENA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC-24252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE THERAPIST",
"identifier": "MFC-24252",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.