Kyra Dotter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW89761 Issued in CA

Practice address

3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250

Phone

(805) 642-4611

Fax

(805) 585-3241

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Beachside Adult and Family Therapy Inc

  • Mental Health Counselor
  • Ventura, CA
  • NPI 1992018469

  Clinical

  NPD

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1487207676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033250",
            "telephone_number": "805-642-4611",
            "fax_number": "805-585-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033250",
            "telephone_number": "805-642-4611",
            "fax_number": "805-585-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTTER",
        "first_name": "KYRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@beachsidetherapy.com",
            "affiliation": "N",
            "address_1": "3160 Telegraph Rd Ste 200",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930033250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Dorotik, MFT
• Sheryl Ann Dorris, NP
• Dominique Lanise Dorsey
• Irish Dawn Aguilar Dorsey, PA-C
• Dos Arboles Psychological Services
• William Evan Doucette
• Shelby Rose Doud, DPT
• Erika Ann Dowd
• John J. Dowling III, LMFT
• Brandon Downs

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.