Individual provider Active NPI

Rosemary Maxine Kane, MFC, CATC

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1437473196
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46557 Issued in CA
Practice address
18 Technology Dr Ste 118
Irvine, CA 92618-2310
Phone
(949) 922-4564
NPI assigned
Mar 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 970117 CA
Marriage & Family Therapist 106H00000X 46557 CA Primary

Addresses

Primary practice location

18 Technology Dr Ste 118
Irvine, CA 92618-2310

Mailing address

23232 Peralta Dr
Suite 219
Laguna Hills, CA 92653-1443
Phone (949) 306-6565

Other names 1

  • Ms. Rosemary Maxine Matuz Former name

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
970117CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Play Therapy & Family Therapy, Inc. CurrentSince Feb 19, 2023 Accepting new patients

Locations

18 Technology Dr
Ste 118
Irvine, CA 92618
Phone (949) 322-7364

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1437473196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR",
            "address_2": "SUITE 219",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531443",
            "telephone_number": "949-306-6565",
            "fax_number": "949-495-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 TECHNOLOGY DR STE 118",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182310",
            "telephone_number": "949-922-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "ROSEMARY",
        "middle_name": "MAXINE",
        "name_prefix": "Mrs.",
        "credential": "MFC, CATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "970117",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "MATUZ",
            "middle_name": "MAXINE",
            "prefix": "MS.",
            "credential": "CATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

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