Kim Maria Cansino

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

114678 Issued in CA

Practice address

27951 Smyth Dr Ste 103B
Valencia, CA 91355-4049

Phone

(747) 258-5004

NPI assigned

Aug 19, 2013

Last updated

May 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Acceptance and Wellness P.C

  • Marriage & Family Therapist
  • Dallas, OR
  • NPI 1598535320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1780017327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27951 SMYTH DR STE 103B",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554049",
            "telephone_number": "747-258-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27951 SMYTH DR STE 103B",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554049",
            "telephone_number": "747-258-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANSINO",
        "first_name": "KIM",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "114678",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Campos
• Samantha Campos
• Bethany Can
• Rudely Cecile Canlas, DDS
• Gisselle Cano
• Diana Carolina Cantero, PA
• Judi Cantor, LMFT
• Canyon View Residential Care Facility, Inc.
• Capitol Home Health, Inc.
• Ronald Michael Cappi, D,C,

• 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 May 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.