Mike Kemmerer, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC49025 Issued in CA

Practice address

710 Pier Ave
Office #11
Hermosa Beach, CA 90254-3940

Phone

(310) 922-9857

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Eb Psychotherapy, Inc

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1699009753
  Medicare reassignment NPD

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1508051970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902670640",
            "telephone_number": "310-922-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PIER AVE",
            "address_2": "OFFICE #11",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543940",
            "telephone_number": "310-922-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERER",
        "first_name": "MIKE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC49025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Cole Karabell, D.M.D
• Kari Sharp, M.S., Rd (Sharp Nutrition)
• Anna Lauren Kavanaugh, LMFT, ATR-BC
• Neishamia Brianna Kayizzi
• Kimberly Dawn Keim, N.P.
• Ken Kang Marriage and Family Therapy Inc. (Wayfinder Counseling)
• Briana Helen Kennedy, MS, LMFT
• Ewelina Kervin, PT, DPT, OCS
• Seema Khan
• Clara Kim

• Marriage & Family Therapist in Hermosa Beach, CA
• Providers in Hermosa Beach, 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 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.