Individual provider Active NPI

Kaylee Marie Falcon

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1568177574
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107365 Issued in CA
Practice address
5619 N Figueroa St Apt 228
Los Angeles, CA 90042-4979
Phone
(818) 922-8491
NPI assigned
Jan 16, 2023
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 107365 CA Primary

Addresses

Primary practice location

5619 N Figueroa St Apt 228
Los Angeles, CA 90042-4979

Mailing address

1837 Crestmont CT
Glendale, CA 91208-2619
Phone (818) 207-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2024 through May 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107365CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nma Marriage and Family Inc. Marriage & Family Therapist CurrentSince Jan 22, 2023 Accepting new patients

Locations

5619 N Figueroa St
Apt 228
Los Angeles, CA 90042
Phone (626) 383-0240

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1568177574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 CRESTMONT CT",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082619",
            "telephone_number": "818-207-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 N FIGUEROA ST APT 228",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424979",
            "telephone_number": "818-922-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "KAYLEE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.