Individual provider Active NPI

Lydia Carlton Turner Kagel, AMFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1891326732
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT110436 Issued in CA
Practice address
3436 Mendocino Ave Ste B
Santa Rosa, CA 95403-2180
Phone
(707) 200-4211
NPI assigned
Jan 29, 2020
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 AMFT110436 CA Primary

Addresses

Primary practice location

3436 Mendocino Ave Ste B
Santa Rosa, CA 95403-2180

Mailing address

PO Box 1053
Geyserville, CA 95441-1053

Other names 1

  • Carla Kagel Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carla@northbaycounseling.net

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
AMFT110436CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Child and Family Counseling, Inc. Marriage & Family Therapist PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1891326732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1053",
            "city": "GEYSERVILLE",
            "state": "CA",
            "postal_code": "954411053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 MENDOCINO AVE STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032180",
            "telephone_number": "707-200-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGEL",
        "first_name": "LYDIA",
        "middle_name": "CARLTON TURNER",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT110436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carla@northbaycounseling.net",
            "affiliation": "N",
            "address_1": "3436 Mendocino Ave Ste B",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954032180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "KAGEL",
            "credential": "AMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.