Individual provider Active NPI

Lauren Kenneally

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1598675563
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
163328 Issued in CA
Practice address
12114 Venice Blvd
Los Angeles, CA 90066-3812
Phone
(310) 861-7335
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 163328 CA Primary

Addresses

Primary practice location

12114 Venice Blvd
Los Angeles, CA 90066-3812

Mailing address

1626 Montana Ave # 119
Santa Monica, CA 90403-1808
Phone (310) 386-5818

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1598675563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MONTANA AVE # 119",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031808",
            "telephone_number": "310-386-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12114 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663812",
            "telephone_number": "310-861-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEALLY",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "163328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.