Suzanne Eileen Kirk, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

449-8-1-00-156 Issued in ND

Practice address

25350 Magic Mountain Parkway
Suite 300
Valencia, CA 91355

Phone

(661) 714-8110

Fax

(701) 364-9820

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Judi Cantor Ma MFT

  • Marriage & Family Therapist
  • Valencia, CA
  • NPI 1245362052
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1750446803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25350 MAGIC MOUNTAIN PARKWAY",
            "address_2": "SUITE 300",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-714-8110",
            "fax_number": "701-364-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 MAGIC MOUNTAIN PARKWAY",
            "address_2": "SUITE 300",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-714-8110",
            "fax_number": "701-364-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "SUZANNE",
        "middle_name": "EILEEN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "449-8-1-00-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinetix Advanced Physical Therapy, Inc.
• Marnie Suzanne King, MS
• Naujai King, CPT 1
• Travis King
• Alisha Christine Kingsley, LMFT
• Brian Scott Kirschner, M.D.
• Bradley J Kirst, D.D.S
• Ajit Madhukar Kittur, MD
• Ginger Klawer, AMFT
• Gary Bradford Klein, M.D.

• Mental Health Counselor in Valencia, CA
• Providers in Valencia, 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 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.