Individual provider Active NPI

Julie C Kyker, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1700951852
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34033 Issued in CA
Practice address
325 W Washington St # 2255
San Diego, CA 92103-1946
Phone
(619) 825-5982
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 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 MFC34033 CA Primary

Addresses

Primary practice location

325 W Washington St # 2255
San Diego, CA 92103-1946

Mailing address

325 W Washington St # 2255
San Diego, CA 92103-1946
Phone (619) 825-5982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 22, 2024 through Mar 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC34033CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relational Life School, a Marriage Therapist P.C. Marriage & Family Therapist CurrentSince Oct 20, 2024 Accepting new patients

Locations

325 W Washington St
#2255
San Diego, CA 92103
Phone (619) 825-5982

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1700951852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W WASHINGTON ST # 2255",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031946",
            "telephone_number": "619-825-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W WASHINGTON ST # 2255",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031946",
            "telephone_number": "619-825-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYKER",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.