Active NPI
Kylah Jay Pinch, APCC, AMFT
- Marriage & Family Therapist
- Woodland, CA
National Provider Identifier
1962149070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 148646
- Practice address
- 520 Cottonwood St Ste 14
Woodland, CA 95695-3603 - Phone
- (530) 656-5080
- Fax
- (530) 666-7682
- NPI assigned
- May 19, 2022
- Last updated
- Nov 13, 2024
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Professional Counselor | 101YP2500X | 16958 | CA | |
| Marriage & Family Therapist | 106H00000X | 148646 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Community Health Worker | 172V00000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
520 Cottonwood St Ste 14
Woodland, CA 95695-3603
Mailing address
520 Cottonwood St Ste 14
Woodland, CA 95695-3603
Phone (530) 656-5080
Other names 1
- Kyle Jeffrey Pinch
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148646 | CA | MD | Marriage & Family Therapist |
| 16958 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1962149070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 COTTONWOOD ST STE 14",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953603",
"telephone_number": "530-656-5080",
"fax_number": "530-666-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 COTTONWOOD ST STE 14",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953603",
"telephone_number": "530-656-5080",
"fax_number": "530-666-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCH",
"first_name": "KYLAH",
"middle_name": "JAY",
"credential": "APCC, AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "16958",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "148646",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYLE",
"last_name": "PINCH",
"middle_name": "JEFFREY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.