Individual provider Active NPI

Kaitlin Kerry Seegman, LMFT

  • Marriage & Family Therapist
  • Studio City, CA
National Provider Identifier
1629866744
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154635 Issued in CA
Practice address
12402 Ventura Blvd
Studio City, CA 91604-2457
Phone
(818) 438-1800
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 154635 CA Primary

Addresses

Primary practice location

12402 Ventura Blvd
Studio City, CA 91604-2457

Mailing address

15474 Dickens St
Sherman Oaks, CA 91403-3008
Phone (818) 986-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002163 CA Practitioner - Marriage and Family Therapist 8224520424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Talk Therapy CenterGroup PAC ID 9436677234, 2 clinicians

Practice addresses (Care Compare)

19322 Jesse LN
Suite 200
Riverside, CA 92508-5072
Phone (951) 387-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
154635CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Talk Therapy Center Marriage & Family Therapist CurrentSince Nov 11, 2025 Accepting new patients

Locations

19322 Jesse Ln
Ste 200
Riverside, CA 92508
Phone (951) 387-4040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1629866744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15474 DICKENS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033008",
            "telephone_number": "818-986-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12402 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042457",
            "telephone_number": "818-438-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEGMAN",
        "first_name": "KAITLIN",
        "middle_name": "KERRY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.