Individual provider Active NPI

Kelly A Barreca-Fish, MA AMFT APCC

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1659178234
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146888 Issued in CA
Practice address
31558 Agoura Rd Unit 1
Westlake Village, CA 91361-4410
Phone
(818) 852-3651
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 146888 CA Primary

Addresses

Primary practice location

31558 Agoura Rd Unit 1
Westlake Village, CA 91361-4410

Mailing address

31558 Agoura Rd Unit 1
Westlake Village, CA 91361-4410
Phone (818) 852-3651

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

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1659178234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31558 AGOURA RD UNIT 1",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614410",
            "telephone_number": "818-852-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31558 AGOURA RD UNIT 1",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614410",
            "telephone_number": "818-852-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRECA-FISH",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "MA AMFT APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.