Joy Kendall, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 48912 Issued in CA

Practice address

5213 El Mercado Pkwy
Santa Rosa, CA 95403-1301

Phone

(707) 571-1714

NPI assigned

Aug 29, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kendall Individual Family and Marriage Therapists IncGroup PAC ID 5890231872, 2 clinicians

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 and National Provider Directory roles.

• Kendall Individual Family and Marriage Therapists Inc

  dba Fourth Street Christian Therapists

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1740830389
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1891195525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 EL MERCADO PKWY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031301",
            "telephone_number": "707-571-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 EL MERCADO PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031301",
            "telephone_number": "707-571-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "JOY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 48912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Kelly, LMFT
• Marjorie L. Kelvin, MD
• Kendall Individual Family and Marriage Therapists Inc (Fourth Street Christian Therapists)
• Xavier Scott Kendall-Protacio
• Jonathan Michael Kendall
• Robert M Kennedy Galindo
• Dennis Kennedy, O.D., FAAO
• Eleanna Alexia Kennedy
• Jane E Kennedy, NP
• Kimberly Anne Kennedy

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, 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 29, 2014; 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.