Kendall B Raymond

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

27130 Paseo Espada Ste 522
San Juan Capistrano, CA 92675-2719

Phone

(949) 633-0482

NPI assigned

Sep 27, 2021

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Heredia Family Therapy, Inc

  dba Heredia Therapy Group

  • Marriage & Family Therapist
  • City of Industry, CA
  • NPI 1326553926
  NPD
• Heredia Family Therapy, Inc

  dba Heredia Therapy Group

  • Occupational Therapist
  • City of Industry, CA
  • NPI 1386380103
  NPD
• Village Wellness Center, a Family Counseling Corporation

  • Marriage & Family Therapist
  • San Juan Capistrano, CA
  • NPI 1194396432
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1477224699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917090078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27130 PASEO ESPADA STE 522",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752719",
            "telephone_number": "949-633-0482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 E Rincon St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928791379",
            "country_code": "US",
            "telephone_number": "562-821-1491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13200 Crossroads Pkwy N Ste 335",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917463485",
            "country_code": "US",
            "telephone_number": "323-243-8813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "KENDALL",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Sep 23, 2022; 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.