Active NPI
Kevin Thomas Powers, M.A.
- Marriage & Family Therapist
- Napa, CA
National Provider Identifier
1700904018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 24090
- Practice address
- 2751 Napa Valley Corporate Dr
Napa, CA 94558-6216 - Phone
- (707) 253-6192
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 24090 | CA | Primary |
Addresses
Primary practice location
2751 Napa Valley Corporate Dr
Napa, CA 94558-6216
Mailing address
621 Bianca LN
Healdsburg, CA 95448-3753
Phone (707) 696-1539
Other practice location 1
290 E Gobbi St
Ukiah, CA 95482-5559
Phone (707) 463-3300 ext. 120
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 24090 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1700904018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 BIANCA LN",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483753",
"telephone_number": "707-696-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 NAPA VALLEY CORPORATE DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945586216",
"telephone_number": "707-253-6192"
}
],
"practiceLocations": [
{
"address_1": "290 E Gobbi St",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954825559",
"country_code": "US",
"telephone_number": "707-463-3300 x120",
"fax_number": "707-463-3318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWERS",
"first_name": "KEVIN",
"middle_name": "THOMAS",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 24090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.