Individual provider Active NPI

Kenny Meagher, MFTI

  • Marriage & Family Therapist
  • Fremont, CA
National Provider Identifier
1558408690
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTI 48558 Issued in CA
Practice address
39217 Liberty St
Suite B 10
Fremont, CA 94538-1501
Phone
(510) 791-3322
Fax
(510) 791-3325
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFTI 48558 CA Primary
Mental Health Counselor 101YM0800X IMF48558 CA

Addresses

Primary practice location

39217 Liberty St
Suite B 10
Fremont, CA 94538-1501

Mailing address

2476 Balmoral St
Union City, CA 94587-1864
Phone (510) 441-8824

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XOtherCAMENTAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF48558CAMDMental Health Counselor
MFTI 48558CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1558408690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 BALMORAL ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871864",
            "telephone_number": "510-441-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39217 LIBERTY ST",
            "address_2": "SUITE B 10",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381501",
            "telephone_number": "510-791-3322",
            "fax_number": "510-791-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAGHER",
        "first_name": "KENNY",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTI 48558",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF48558",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "101YM0800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.