Individual provider Active NPI

Kevin Jay Selna, M.A.

  • Marriage & Family Therapist
  • Anaheim, CA
National Provider Identifier
1770685778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2099 S State College Blvd
#250
Anaheim, CA 92806-6142
Phone
(714) 704-5900
Fax
(714) 978-3419
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2099 S State College Blvd
#250
Anaheim, CA 92806-6142

Mailing address

16352 Birdie LN
Huntington Beach, CA 92649-2759
Phone (714) 840-7584

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770685778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16352 BIRDIE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492759",
            "telephone_number": "714-840-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 S STATE COLLEGE BLVD",
            "address_2": "#250",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066142",
            "telephone_number": "714-704-5900",
            "fax_number": "714-978-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELNA",
        "first_name": "KEVIN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.