Individual provider Active NPI

Jean Renee Kasha, M.F.T.

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1710038005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC38411 Issued in CA
Practice address
45 Quail CT
Ste. 102
Walnut Creek, CA 94596-5547
Phone
(925) 695-3104
Fax
(510) 524-4239
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC38411 CA Primary

Addresses

Primary practice location

45 Quail CT
Ste. 102
Walnut Creek, CA 94596-5547

Mailing address

1052 Ordway St
Albany, CA 94706-2523
Phone (510) 525-1657

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
MFC38411CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710038005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 ORDWAY ST",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062523",
            "telephone_number": "510-525-1657",
            "fax_number": "510-524-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 QUAIL CT",
            "address_2": "STE. 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965547",
            "telephone_number": "925-695-3104",
            "fax_number": "510-524-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHA",
        "first_name": "JEAN",
        "middle_name": "RENEE",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.