Individual provider Active NPI

Kyra Shapiro Gutierrez, LMFT 162680

  • Marriage & Family Therapist
  • California City, CA
National Provider Identifier
1427572064
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
162680 Issued in CA
Practice address
9012 Fir Ave
California City, CA 93505-2783
Phone
(661) 528-8892
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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 162680 CA Primary

Addresses

Primary practice location

9012 Fir Ave
California City, CA 93505-2783

Mailing address

9012 Fir Ave
California City, CA 93505-2783
Phone (661) 528-8892

Other names 1

  • Kyra Shapiro Graham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260616002778 CA Practitioner - Marriage and Family Therapist 8325510845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

535 Mack Ave
Kingsley, MI 49649-9220

5645 W Ave
L14
Lancaster, CA 93536-3798

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
162680CAMDMarriage & Family Therapist

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1427572064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 FIR AVE",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052783",
            "telephone_number": "661-528-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 FIR AVE",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052783",
            "telephone_number": "661-528-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO GUTIERREZ",
        "first_name": "KYRA",
        "credential": "LMFT 162680",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "162680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRA",
            "last_name": "SHAPIRO GRAHAM",
            "credential": "LMFT 162680",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in California City, CA

Sources for this page

Verify at the official NPI Registry.