Active NPI
Kenneth Paul Monroy
- Marriage & Family Therapist
- Glendora, CA
National Provider Identifier
1992960736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 71249
- Practice address
- 1122 Essex St
Glendora, CA 91740-5318 - Phone
- (626) 335-0264
- NPI assigned
- Jul 22, 2008
- Sex
- Male
- 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 | IMF 71249 | CA | Primary |
Addresses
Primary practice location
1122 Essex St
Glendora, CA 91740-5318
Mailing address
1122 Essex St
Glendora, CA 91740-5318
Phone (626) 335-0264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMF 51658 | Other | CA | MARRIAGE AND FAMILY THERAPIST INTERN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 71249 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1992960736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 ESSEX ST",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405318",
"telephone_number": "626-335-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 ESSEX ST",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405318",
"telephone_number": "626-335-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROY",
"first_name": "KENNETH",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-22",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 71249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE AND FAMILY THERAPIST INTERN",
"identifier": "IMF 51658",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.