Kandra Diane Clifton, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT40400 Issued in CA

Practice address

1401 N Tustin Ave Ste 225
Santa Ana, CA 92705-8688

Phone

(714) 221-6400

Fax

(714) 221-6401

NPI assigned

Oct 16, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Fullerton, CA
  • NPI 1881729911
  Medicare reassignment NPD
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1437294618
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1992885719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE STE 225",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058688",
            "telephone_number": "714-221-6400",
            "fax_number": "714-221-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE STE 225",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058688",
            "telephone_number": "714-221-6400",
            "fax_number": "714-221-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "KANDRA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFC40400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT40400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Cleary
• Gina Nicole Clemente, MASTERS OF SCIENCE
• Brianna Michael Clements
• Kaley Ann Clenney
• Kristen Eileen Clevenger, N.P.
• Clinica Buena Salud Inc
• Clinica de Salud Medical Group
• Clinica Medica Mi Pueblo, Medical Clinic, Inc
• Clinica Michoacan
• Clinica Prenatal San Jose, Inc.

• Mental Health Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.