Jennifer Kile

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2580 Lake Tahoe Blvd Ste D
South Lake Tahoe, CA 96150-7723

Phone

(530) 544-2111

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1477072098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 ARROWHEAD AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961505412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 LAKE TAHOE BLVD STE D",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507723",
            "telephone_number": "530-544-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian N Kelly, PT
• Christianne Bijasa Kernes, LMFT
• Jessica Keys, RD
• Kids Place 4 ABA Inc
• Dustin Kieschnick, PSYD
• Katherine Klover
• Paul Michael Knight, MD
• Danielle Marie Knowlton, MA, FAAA
• Karlee Lyn Koeppen
• Christine Ann Kozlowski, PT

• Mental Health Counselor in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.