Kameron Mitchell Krumdick

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

145402 Issued in CA

Practice address

1393 Bailey St
Hanford, CA 93230-5922

Phone

(559) 256-0100

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Synchrony of Visalia, Inc

  • Psychologist
  • Visalia, CA
  • NPI 1457470825

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1730878570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S CENTRAL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 BAILEY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305922",
            "telephone_number": "559-256-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 S Central St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774522",
            "country_code": "US",
            "telephone_number": "559-635-4252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUMDICK",
        "first_name": "KAMERON",
        "middle_name": "MITCHELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145402",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Koelewyn, RN
• Robert S Koelewyn, LABORATORY DIRECTOR
• Sharon A Koopmans-Hempton, LCSW
• Vijay Krishna, MD
• Krista Feagans Nutrition LLC
• Ashley Brooke Kuhn, MS
• Kayla Kukaua
• James Kuo, D.O.
• La Laser Center PC, a Professional Medical Corporation
• Kimberly Labella

• Marriage & Family Therapist in Hanford, CA
• Providers in Hanford, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.