Active NPI
Kamal Ahmed
- Marriage & Family Therapist
- Antelope, CA
National Provider Identifier
1467982256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112428
- Practice address
- 5533 Red Jasper Way
Antelope, CA 95843-3710 - Phone
- (408) 345-5293
- NPI assigned
- Jun 14, 2017
- Last updated
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Marriage & Family Therapist | 106H00000X | 112428 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | NU |
Addresses
Primary practice location
5533 Red Jasper Way
Antelope, CA 95843-3710
Mailing address
5533 Red Jasper Way
Antelope, CA 95843-3710
Phone (408) 345-5293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106H00000X | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112428 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iman Family Therapy Inc. | Marriage & Family Therapist | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Antelope, CA
- NPI 1396663266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1467982256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5533 RED JASPER WAY",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958433710",
"telephone_number": "408-345-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5533 RED JASPER WAY",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958433710",
"telephone_number": "408-345-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "KAMAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112428",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106H00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Antelope, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.