Kalie A Matisek, LMFT 98951

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

98951 Issued in CA

Practice address

1065 E Main St
Ventura, CA 93001-3027

Phone

(805) 652-0599

Fax

(805) 652-0608

NPI assigned

Jul 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
  • NPI 1154954303

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1902110018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013027",
            "telephone_number": "805-652-0599",
            "fax_number": "805-652-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013027",
            "telephone_number": "805-652-0599",
            "fax_number": "805-652-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATISEK",
        "first_name": "KALIE",
        "middle_name": "A",
        "credential": "LMFT 98951",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "71076",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Matela, PHARMD
• Ryan Matela, PHARMD
• Amber Alexa Matheson, RBT
• Mallory Anne Mathias, B.C.B.A
• Benjamin Adam Mati, MD
• Carmen Matisz-Cordero
• Matthew L Bloom DO PC
• Bruce Matthews, M.D.
• Todd Matthews, D.P.M.
• Christina L. Matts, MD

• Marriage & Family Therapist in Ventura, CA
• Providers in Ventura, 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 Mar 16, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.