Individual provider Active NPI

Kathryn Rae Taylor, LMFT

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1417400888
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119358 Issued in CA
Practice address
5731 W Slauson Ave Ste 220
Culver City, CA 90230-6984
Phone
(310) 362-7626
NPI assigned
Aug 2, 2016
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 119358 CA Primary

Addresses

Primary practice location

5731 W Slauson Ave Ste 220
Culver City, CA 90230-6984

Mailing address

PO Box 480806
Los Angeles, CA 90048-9406
Phone (310) 362-3726

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
119358CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvo Counseling Services Current Accepting new patients

Locations

5731 W Slauson Ave
Ste 220
Culver City, CA 90230
Phone (323) 333-4340

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

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1417400888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900489406",
            "telephone_number": "310-362-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 W SLAUSON AVE STE 220",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306984",
            "telephone_number": "310-362-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KATHRYN",
        "middle_name": "RAE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.