Kaitlyn Simone Lydell, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT35426 Issued in CA

Practice address

845 Olive Ave
Suite 210
Novato, CA 94945-2480

Phone

(415) 451-7304

Fax

(707) 559-5223

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Marriage and Family Therapist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1992862874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 OLIVE AVE SUITE 210",
            "address_2": "SUITE 210",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452480",
            "telephone_number": "415-451-7304",
            "fax_number": "707-559-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 OLIVE AVE",
            "address_2": "SUITE 210",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452480",
            "telephone_number": "415-451-7304",
            "fax_number": "707-559-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDELL",
        "first_name": "KAITLYN",
        "middle_name": "SIMONE",
        "name_prefix": "Ms.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT35426",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George William Lund
• Buffy Lundine
• Peruth Lunkuse
• Joseph Brandon Luther
• Luxottica of America Inc.
• Ka Wai Ma
• Cassan Rose Macaraig, LCSW
• Deann Macdonald
• Louisa Mackintosh
• Jonathan Maclean

• Marriage & Family Therapist in Novato, CA
• Providers in Novato, 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 Dec 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.