Kenya De la Roche

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT148099 Issued in CA

Practice address

9029 Park Plaza Dr
La Mesa, CA 91942

Phone

(858) 933-5696

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1821820580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 PARK PLAZA DR STE 102",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423450",
            "telephone_number": "858-933-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 PARK PLAZA DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "858-933-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROCHE",
        "first_name": "KENYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT148099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Simpson Dawidowicz, MFT
• Sarah Jane Rios De Dios, NP
• Jarylynn Mariel De Guzman, PHARMD
• Karen Nicole De Jesus
• Lovella De la Cruz
• Abbie Maio De Los Reyes
• Jose Emmanuel Rubio De Luna, DDS
• Shirla De Magalhaes, LMFT, RPT-S, RSP
• Cassie Christine Deacon, LCSW
• Craig Deagle, DMD

• Marriage & Family Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.