Active NPI
Lisa Kirkland, LMFT
- Marriage & Family Therapist
- Redlands, CA
National Provider Identifier
1396508404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 144722
- Practice address
- 511 Brookside Ave
Redlands, CA 92373-4611 - Phone
- (909) 492-0058
- NPI assigned
- Feb 1, 2024
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 144722 | Primary |
Addresses
Primary practice location
511 Brookside Ave
Redlands, CA 92373-4611
Mailing address
9997 Walnut Tree LN
Yucaipa, CA 92399-2989
Phone (909) 967-7098
Other practice location 1
9997 Walnut Tree Ln
Yucaipa, CA 92399-2989
Phone (909) 967-7098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1396508404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9997 WALNUT TREE LN",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992989",
"telephone_number": "909-967-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 BROOKSIDE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734611",
"telephone_number": "909-492-0058"
}
],
"practiceLocations": [
{
"address_1": "9997 Walnut Tree Ln",
"address_purpose": "LOCATION",
"city": "Yucaipa",
"state": "CA",
"postal_code": "923992989",
"country_code": "US",
"telephone_number": "909-967-7098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKLAND",
"first_name": "LISA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "144722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.