Active NPI
Kathleen Malone, M.A.
- Marriage & Family Therapist
- Walnut Creek, CA
National Provider Identifier
1487054748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 88108
- Practice address
- 120 La Casa Via Ste 210
Walnut Creek, CA 94598-3007 - Phone
- (925) 338-7795
- Fax
- (925) 338-7767
- NPI assigned
- Aug 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 88108 | CA | Primary |
Addresses
Primary practice location
120 La Casa Via Ste 210
Walnut Creek, CA 94598-3007
Mailing address
120 La Casa Via Ste 210
Walnut Creek, CA 94598-3007
Phone (925) 338-7795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1487054748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 LA CASA VIA STE 210",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983007",
"telephone_number": "925-338-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 LA CASA VIA STE 210",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983007",
"telephone_number": "925-338-7795",
"fax_number": "925-338-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "KATHLEEN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-23",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "88108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.