Individual provider Active NPI

Chih Mei Jill Kuendig, MFT

  • Marriage & Family Therapist
  • Cupertino, CA
National Provider Identifier
1598817124
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48235 Issued in CA
Practice address
21710 Stevens Creek Blvd Ste 105
Cupertino, CA 95014-1179
Phone
(650) 576-9712
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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 48235 CA Primary

Addresses

Primary practice location

21710 Stevens Creek Blvd Ste 105
Cupertino, CA 95014-1179

Mailing address

120 N El Camino Real
San Mateo, CA 94401-2791
Phone (650) 576-9712

Other practice location 1

1611 Borel Pl
Suite 211
San Mateo, CA 94402-3503
Phone (650) 576-9712

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
48235CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1598817124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012791",
            "telephone_number": "650-576-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD STE 105",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141179",
            "telephone_number": "650-576-9712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 Borel Pl",
            "address_2": "Suite 211",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944023503",
            "country_code": "US",
            "telephone_number": "650-576-9712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUENDIG",
        "first_name": "CHIH MEI",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.