Active NPI
Rosa Kitchen, MFT
- Marriage & Family Therapist
- Scotts Valley, CA
National Provider Identifier
1982720835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT35854
- Practice address
- 4113 Scotts Valley Dr Ste 205
Scotts Valley, CA 95066-4547 - Phone
- (831) 254-2577
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT35854 | CA | Primary |
Addresses
Primary practice location
4113 Scotts Valley Dr Ste 205
Scotts Valley, CA 95066-4547
Mailing address
25777 Mt Charlie Rd
Los Gatos, CA 95033
Phone (831) 438-0880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46885 | Other | CA | MANAGED HEALTH NETWORK |
| 119242 | Other | CA | SANTA CRUZ COUNTY |
| 1622-01 | Other | CA | MEDICAL |
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 |
|---|---|---|---|
| MFT35854 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982720835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25777 MT CHARLIE RD",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95033",
"telephone_number": "831-438-0880",
"fax_number": "831-461-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4113 SCOTTS VALLEY DR STE 205",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664547",
"telephone_number": "831-254-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHEN",
"first_name": "ROSA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT35854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "46885",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY",
"identifier": "119242",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "1622-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.