Organization Active NPI

KDS H O O D

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1639973209
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KDS H O O D
Practice address
2658 Durham Ridge PL
San Diego, CA 92110-4259
Phone
(510) 604-8058
NPI assigned
Apr 2, 2025
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kiyana Dailey, LMFTNPI 1376214502
Title
Ceo
Phone
(510) 604-8058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2658 Durham Ridge PL
San Diego, CA 92110-4259

Mailing address

2658 Durham Ridge PL
San Diego, CA 92110-4259
Phone (510) 604-8058

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1639973209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 DURHAM RIDGE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104259",
            "telephone_number": "510-604-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 DURHAM RIDGE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104259",
            "telephone_number": "510-604-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDS H O O D",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "KIYANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-604-8058",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.