Active NPI
Andrea Kim Kilroy
- Marriage & Family Therapist
- Bakersfield, CA
National Provider Identifier
1922476944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT126485
- Practice address
- 3628 Stockdale Hwy
Bakersfield, CA 93309 - Phone
- (661) 322-1021
- NPI assigned
- Sep 8, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT97402 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | LMFT126485 | CA | Primary |
Addresses
Primary practice location
3628 Stockdale Hwy
Bakersfield, CA 93309
Mailing address
3628 Stockdale Hwy
Bakersfield, CA 93309-2153
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT97402 | CA | MD | Marriage & Family Therapist |
| LMFT126485 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Kern | Marriage & Family Therapist | Current | Accepting new patients |
| County of Kern | Marriage & Family Therapist | Current | Accepting new patients |
| County of Kern | Marriage & Family Therapist | Current | Accepting new patients |
Locations
3628 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 322-1021
2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bakersfield, CA
- NPI 1568658821
Marriage & Family Therapist
-
- Adult Mental Health Clinic/Center
- Bakersfield, CA
- NPI 1467653253
Marriage & Family Therapist
-
- Adult Mental Health Clinic/Center
- Bakersfield, CA
- NPI 1851502124
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1922476944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3628 STOCKDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933092153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 STOCKDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93309",
"telephone_number": "661-322-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILROY",
"first_name": "ANDREA",
"middle_name": "KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT97402",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT126485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.