NPIMap

Organization Active NPI

Kindred Heart Therapy Group Nonprofit

Doing business as Kindred Heart Therapy Group

  • Marriage & Family Therapist
  • Nevada City, CA
National Provider Identifier
1720689565
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KINDRED HEART THERAPY GROUP NONPROFIT
Doing business as
Kindred Heart Therapy Group
Practice address
202 Providence Mine Rd Ste 105
Nevada City, CA 95959-2945
Phone
(530) 277-2046
Fax
(916) 969-8373
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Lovie Bucknell, LMFTNPI 1457754020
Title
Ceo
Phone
(530) 277-2046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

202 Providence Mine Rd Ste 105
Nevada City, CA 95959-2945

Mailing address

PO Box 2336
Nevada City, CA 95959-1946
Phone (530) 277-2046

Other names 1

  • Kindred Heart Therapy Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250204000447 CA Part B Supplier - Clinic/Group Practice 7315477544 Receives reassigned benefits from 4 practitioners
Practice locations: Nevada City, CA

National Provider Directory

National Provider Directory

Locations

412 E Main St
Ste D
Grass Valley, CA 95945
Phone (530) 265-1437

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1720689565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2336",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959591946",
            "telephone_number": "530-277-2046",
            "fax_number": "916-969-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROVIDENCE MINE RD STE 105",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592945",
            "telephone_number": "530-277-2046",
            "fax_number": "916-969-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HEART THERAPY GROUP NONPROFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "BUCKNELL",
        "authorized_official_first_name": "LOVIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-277-2046",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Heart Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Heart Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.