Individual provider Active NPI

Kittie Kinsey T Service, PHD, MFT

  • Marriage & Family Therapist
  • Goleta, CA
National Provider Identifier
1881920262
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46309 Issued in CA
Practice address
861 Vereda del Ciervo
Goleta, CA 93117-5337
Phone
(805) 685-9262
Fax
(805) 685-6065
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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 46309 CA Primary

Addresses

Primary practice location

861 Vereda del Ciervo
Goleta, CA 93117-5337

Mailing address

861 Vereda del Ciervo
Goleta, CA 93117-5337
Phone (805) 685-9262

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
46309CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1881920262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 VEREDA DEL CIERVO",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175337",
            "telephone_number": "805-685-9262",
            "fax_number": "805-685-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 VEREDA DEL CIERVO",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175337",
            "telephone_number": "805-685-9262",
            "fax_number": "805-685-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVICE",
        "first_name": "KITTIE KINSEY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHD, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.