Kathleen Marie Casillas, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

108277 Issued in CA

Practice address

18751 Smithwood Dr
Madera, CA 93638-0124

Phone

(559) 871-9203

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kathleen Marie Davila/Prado Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1457575953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936390594",
            "telephone_number": "559-871-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18751 SMITHWOOD DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936380124",
            "telephone_number": "559-871-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 51478",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DAVILA/PRADO",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David G Carrera
• Juan Carrillo
• Joshua Carter
• Jennifer Anne Case, MD
• Aimiel Trisha Wareza Casillan, GC
• Jessica Cassidy, FNP-C
• Adela Guadalupe Castaneda
• Yuneli Castillo-Pimentel
• Amaris Angelique Castillo
• Arleth Castillo

• Marriage & Family Therapist in Madera, CA
• Providers in Madera, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.