Individual provider Active NPI

Kendra Paulsen, LMFT

  • Marriage & Family Therapist
  • Benicia, CA
National Provider Identifier
1801342571
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT140236 Issued in CA
Practice address
600 Military E
Benicia, CA 94510-9451
Phone
(510) 239-7049
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X
Marriage & Family Therapist 106H00000X LMFT140236 CA Primary

Addresses

Primary practice location

600 Military E
Benicia, CA 94510-9451

Mailing address

77 Solano SQ
#207
Benicia, CA 94510
Phone (925) 997-2866

Other practice location 1

2501 Harrison St
Oakland, CA 94612-3811
Phone (510) 444-3344

Other names 1

  • Kendra Paulsen Loveless Former name

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

State licenses

LicenseStateTypeSpecialty
LMFT140236CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John F. Kennedy University Marriage & Family Therapist Past Accepting new patients
Oakland Counseling Center PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1801342571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SOLANO SQ",
            "address_2": "#207",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "94510",
            "telephone_number": "925-997-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MILITARY E",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945109451",
            "telephone_number": "510-239-7049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123811",
            "country_code": "US",
            "telephone_number": "510-444-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "KENDRA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT140236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "LOVELESS",
            "middle_name": "PAULSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.