Active NPI
Jan Cobaleda-Kegler, PSYD, LMFT, MA
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1629104179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 23476
- Practice address
- 2425 Bisso LN
#200
Concord, CA 94520-4897 - Phone
- (925) 521-5707
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 23476 | CA | Primary |
| Psychologist | 103T00000X |
Addresses
Primary practice location
2425 Bisso LN
#200
Concord, CA 94520-4897
Mailing address
2425 Bisso LN
#200
Concord, CA 94520-4897
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 23476 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1629104179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 BISSO LN",
"address_2": "#200",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 BISSO LN",
"address_2": "#200",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204897",
"telephone_number": "925-521-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBALEDA-KEGLER",
"first_name": "JAN",
"credential": "PSYD, LMFT, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 23476",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.