MR. PAUL DOULAS KANNARD AMFT
NPI 1053977587
Marriage & Family Therapist in Red Bluff, CA

Q: What is Paul Kannard's NPI number?

The NPI number for Paul Kannard is 1053977587. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Q: What is Paul Kannard's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Kannard was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment

1445 VISTA WAY, RED BLUFF, CA 96080(530) 529-4019 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Paul Doulas Kannard Amft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL DOULAS KANNARD AMFT (NPI 1053977587) is an individual marriage & family therapist in Red Bluff, California, licensed in California (111412) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053977587

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. PAUL DOULAS KANNARDCredential: AMFT

Location Address1445 VISTA WAYRed Bluff, CA 96080-4510

Mailing AddressPo Box 400Red Bluff, CA 96080-0400 · (530) 529-4019

Phone(530) 529-4019

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 9, 2019

✔ NPI 1053977587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 111412

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1445 VISTA WAY, Red Bluff, CA 96080

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul Doulas Kannard Amft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406208586

PECOS Enrollment IDI20240115001487

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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