Individual provider Active NPI

Kathleen Michelle Vakoc, AMFT APCC

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1700517695
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT149579 Issued in CA
Practice address
104 E Olive Ave Ste 100
Redlands, CA 92373-5255
Phone
(909) 409-5781
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT149579 CA Primary
Counselor 101Y00000X APCC17678 CA

Addresses

Primary practice location

104 E Olive Ave Ste 100
Redlands, CA 92373-5255

Mailing address

12379 Cambria Dr
Yucaipa, CA 92399-1969
Phone (909) 855-9519

Other practice location 1

1751 N Sunrise Way Ste G
Palm Springs, CA 92262-3408
Phone (760) 325-2683

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

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1700517695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12379 CAMBRIA DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991969",
            "telephone_number": "909-855-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "909-409-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 N Sunrise Way Ste G",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922623408",
            "country_code": "US",
            "telephone_number": "760-325-2683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAKOC",
        "first_name": "KATHLEEN",
        "middle_name": "MICHELLE",
        "credential": "AMFT APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT149579",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "APCC17678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.