Individual provider Active NPI

Kate Carnahan Plascencia

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1710498787
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121255 Issued in CA
Practice address
11965 Venice Blvd Ste 202
Los Angeles, CA 90066-3954
Phone
(818) 405-0275
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11509-R CA
Marriage & Family Therapist 106H00000X 121255 CA Primary

Addresses

Primary practice location

11965 Venice Blvd Ste 202
Los Angeles, CA 90066-3954

Mailing address

22552 Burbank Blvd
Woodland Hills, CA 91367-4416

Other practice location 1

907 Pico Blvd
Santa Monica, CA 90405-1326
Phone (310) 314-6200

Other practice location 2

22552 Burbank Blvd
Woodland Hills, CA 91367-4416
Phone (818) 405-0275

Other practice location 3

844 Pico Blvd
Santa Monica, CA 90405-1325
Phone (310) 314-6200

Other practice location 4

905 Pico Blvd
Santa Monica, CA 90405-1326
Phone (310) 314-6200

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
11509-RCAMDAddiction (Substance Use Disorder) Counselor
121255CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC Past Accepting new patients
Clare Matrix Past Accepting new patients
Clare Matrix Past Accepting new patients
Mood Clinical, P. C. PastSince Jun 15, 2021 Accepting new patients

Organizations & group practices 4

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1710498787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22552 BURBANK BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663954",
            "telephone_number": "818-405-0275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Pico Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904051326",
            "country_code": "US",
            "telephone_number": "310-314-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22552 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913674416",
            "country_code": "US",
            "telephone_number": "818-405-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "844 Pico Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904051325",
            "country_code": "US",
            "telephone_number": "310-314-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Pico Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904051326",
            "country_code": "US",
            "telephone_number": "310-314-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLASCENCIA",
        "first_name": "KATE",
        "middle_name": "CARNAHAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "11509-R",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.