Individual provider Active NPI

Lynn Kawabe

  • Marriage & Family Therapist
  • Sierra Madre, CA
National Provider Identifier
1588925135
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105244 Issued in CA
Practice address
37 Auburn Ave Ste 1
Sierra Madre, CA 91024-1846
Phone
(626) 470-9834
Fax
(866) 541-3233
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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 105244 CA Primary

Addresses

Primary practice location

37 Auburn Ave Ste 1
Sierra Madre, CA 91024-1846

Mailing address

702 W 149TH St
Gardena, CA 90247-2729
Phone (626) 470-9834

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
105244CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1588925135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W 149TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472729",
            "telephone_number": "626-470-9834",
            "fax_number": "866-541-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 AUBURN AVE STE 1",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241846",
            "telephone_number": "626-470-9834",
            "fax_number": "866-541-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWABE",
        "first_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Madre, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.