Individual provider Active NPI

Kathryn A Kupillas, LMFT

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1912506361
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
122539 Issued in CA
Practice address
1965 1/2 N Bronson Ave
Los Angeles, CA 90068-5601
Phone
(415) 596-9560
NPI assigned
Oct 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 122539 CA
Mental Health Counselor 101YM0800X 122539 CA Primary

Addresses

Primary practice location

1965 1/2 N Bronson Ave
Los Angeles, CA 90068-5601

Mailing address

1965 1/2 N Bronson Ave
Los Angeles, CA 90068-5601
Phone (415) 596-9560

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

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1912506361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 1/2 N BRONSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900685601",
            "telephone_number": "415-596-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 1/2 N BRONSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900685601",
            "telephone_number": "415-596-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPILLAS",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122539",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "122539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2024; 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.