Individual provider Active NPI

Kevin Stolper, LMFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1376925362
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
87384 Issued in CA
Practice address
169 Pier Ave Ste 2
Santa Monica, CA 90405
Phone
(310) 720-4822
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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 87384 CA Primary

Addresses

Primary practice location

169 Pier Ave Ste 2
Santa Monica, CA 90405

Mailing address

520 Ravensbury St
Lake Sherwood, CA 91361-5163
Phone (310) 720-4822

Other practice location 1

28310 Roadside Dr Ste 202
Agoura Hills, CA 91301-4958
Phone (310) 720-4822

Other practice location 2

1452 26th St
Suite 203
Santa Monica, CA 90404-3084
Phone (310) 720-4822

Other practice location 3

2510 Main St Ste 201
Santa Monica, CA 90405-3581
Phone (310) 720-4822

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

LicenseStateTypeSpecialty
87384CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mindview Inc. CurrentSince Aug 9, 2020 Accepting new patients

Locations

169 Pier Ave
Ste 2
Santa Monica, CA 90405
Phone (310) 444-4444

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1376925362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RAVENSBURY ST",
            "city": "LAKE SHERWOOD",
            "state": "CA",
            "postal_code": "913615163",
            "telephone_number": "310-720-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PIER AVE STE 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90405",
            "telephone_number": "310-720-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28310 Roadside Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913014958",
            "country_code": "US",
            "telephone_number": "310-720-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1452 26th St",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904043084",
            "country_code": "US",
            "telephone_number": "310-720-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904053581",
            "country_code": "US",
            "telephone_number": "310-720-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLPER",
        "first_name": "KEVIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.