Kendall Dials

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1848 Willow Pass Rd Ste 207
Concord, CA 94520-2542

Phone

(530) 265-9057

NPI assigned

Feb 11, 2020

Last updated

Jun 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Mountain Valley Child and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Concord, CA
  • NPI 1063985794
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1740812379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 WILLOW PASS RD STE 207",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 WILLOW PASS RD STE 207",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202542",
            "telephone_number": "530-265-9057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Watt Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958212670",
            "country_code": "US",
            "telephone_number": "404-401-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIALS",
        "first_name": "KENDALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diablo Nephrology Medical Group, Inc
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• Diablo Valley Primary Care, Inc.
• Diablo Valley Women OB,GYN Medical Group Inc.
• Angel Diamond
• Jaye Christopher Diamond
• Mekhayla Diaw
• Ashley Michelle Diaz Ortiz
• Mariana Diaz Rojo

• Mental Health Counselor in Concord, CA
• Providers in Concord, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.