Individual provider Active NPI

Guadalupe Lopez Kirklin, PHD, LMFT, MS

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1891904777
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125004 Issued in CA
Practice address
611 Wilshire Blvd Ste 1002
Los Angeles, CA 90017
Phone
(213) 842-4584
Fax
(844) 522-5042
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 125004 CA Primary
Marriage & Family Therapist 106H00000X T3234 OR

Addresses

Primary practice location

611 Wilshire Blvd Ste 1002
Los Angeles, CA 90017

Mailing address

103 Clearwood St
Fillmore, CA 93015-1996
Phone (805) 701-9894

Other practice location 1

333 Laws Ave
Ukiah, CA 95482-6540
Phone (707) 468-1010

Other names 1

  • Maria Guadalupe Lopez Kirklin Other 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
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
125004CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychserves Multi-Specialty Current Accepting new patients
Blue Libelula Inc Current Accepting new patients
Jillian Greene Psychologist a Professional Corporation Multi-Specialty Past Accepting new patients
Phamily Love Foundation Multi-Specialty PastSince Jul 18, 2023 Accepting new patients

Organizations & group practices 4

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1891904777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CLEARWOOD ST",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151996",
            "telephone_number": "805-701-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSHIRE BLVD STE 1002",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "213-842-4584",
            "fax_number": "844-522-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Laws Ave",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954826540",
            "country_code": "US",
            "telephone_number": "707-468-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLIN",
        "first_name": "GUADALUPE",
        "middle_name": "LOPEZ",
        "credential": "PHD, LMFT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125004",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T3234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA GUADALUPE",
            "last_name": "KIRKLIN",
            "middle_name": "LOPEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.