MR. KENTYAH FRASER MFT-I NPI 1942612395

NPI Information

  • NPI: 1942612395
  • Provider Name: MR. KENTYAH FRASER, MFT-I
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 204 HAMPTON DR
    VENICE, CA
    ZIP 90291
  • Phone: (310) 309-6001

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NPI Details

MR. Kentyah Fraser, MFT-I is a mental health counselor in Venice, CA. MR. Kentyah Fraser, MFT-I NPI is 1942612395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

204 HAMPTON DR
VENICE, CA
ZIP 90291-623
Phone: (310) 309-6001
Fax: (310) 449-9170

The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health78292CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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