Joseph Mariner Kindred, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

571-228 Issued in WI

Practice address

E2498 350TH Ave.
Menomonie, WI 54751-6212

Phone

(262) 726-1688

Fax

(207) 708-5352

NPI assigned

Jun 27, 2017

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Joseph Ostaviolouis Surano Dhara Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1396265799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E2498 350TH AVE.",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547516212",
            "telephone_number": "262-726-1688",
            "fax_number": "207-708-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E2498 350TH AVE.",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547516212",
            "telephone_number": "262-726-1688",
            "fax_number": "207-708-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W 1st St Ste 270",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171770",
            "country_code": "US",
            "telephone_number": "715-246-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "E4530 490th Ave",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547515466",
            "country_code": "US",
            "telephone_number": "715-231-2010",
            "fax_number": "715-231-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 6th Ave W",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547511957",
            "country_code": "US",
            "telephone_number": "715-246-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "E4530 490th Ave",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547515466",
            "country_code": "US",
            "telephone_number": "715-231-2010",
            "fax_number": "715-231-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1889 Cypress Ct NE Unit 7",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547513507",
            "country_code": "US",
            "telephone_number": "612-418-4647",
            "fax_number": "833-779-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDRED",
        "first_name": "JOSEPH",
        "middle_name": "MARINER",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "571-228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093715",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "DHARA",
            "middle_name": "OSTAVIOLOUIS SURANO",
            "prefix": "MR.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.