Individual provider Active NPI

Kathleen Anne Moore, AMFT

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1699505883
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
141673 Issued in CA
Practice address
3812 Sepulveda Blvd Ste 260
Torrance, CA 90505-2457
Phone
(661) 387-3625
NPI assigned
Aug 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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 141673 CA Primary

Addresses

Primary practice location

3812 Sepulveda Blvd Ste 260
Torrance, CA 90505-2457

Mailing address

3812 Sepulveda Blvd Ste 260
Torrance, CA 90505-2457
Phone (661) 387-3625

Other practice location 1

25000 Avenue Stanford Ste 167
Valencia, CA 91355-4596
Phone (661) 387-3625

Other practice location 2

31200 Via Colinas Ste 202
Westlake Village, CA 91362-3955
Phone (661) 387-3625

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
141673CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1699505883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 SEPULVEDA BLVD STE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052457",
            "telephone_number": "661-387-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 SEPULVEDA BLVD STE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052457",
            "telephone_number": "661-387-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25000 Avenue Stanford Ste 167",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554596",
            "country_code": "US",
            "telephone_number": "661-387-3625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31200 Via Colinas Ste 202",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913623955",
            "country_code": "US",
            "telephone_number": "661-387-3625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "141673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.