Active NPI
Guadalupe Lopez Kirklin, PHD, LMFT, MS
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1891904777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125004
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125004 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Counseling Psychologist
- Baker City, OR
- NPI 1003490590
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1750933354
Multi-Specialty
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1316493125
Multi-Specialty
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.