KATHLEEN ELAINE-SMALL CUSTODIO
NPI 1245943711
Marriage & Family Therapist in Newport Beach, CA

Active since December 29, 2022
1800 PARK NEWPORT APT 206, NEWPORT BEACH, CA 92660(714) 478-7077 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Elaine-small Custodio NPPES

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

KATHLEEN ELAINE-SMALL CUSTODIO (NPI 1245943711) is an individual marriage & family therapist in Newport Beach, California and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1245943711
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHLEEN ELAINE-SMALL CUSTODIO
Location Address1800 PARK NEWPORT APT 206Newport Beach, CA 92660-5040
Mailing AddressPo Box 80145Rancho Santa Margarita, CA 92688-0145 · (714) 478-7077
Sole ProprietorNo
Enumeration DateDecember 29, 2022
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1245943711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.

1800 PARK NEWPORT APT 206, Newport Beach, CA 92660

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
1800 PARK NEWPORT APT 206
NEWPORT BEACH, CA 92660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Custodio's NPI number?

The NPI number for Kathleen Custodio is 1245943711. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Kathleen Custodio located?

Kathleen Custodio practices at 1800 Park Newport Apt 206, Newport Beach, CA 92660. The listed phone number is (714) 478-7077.

What is Kathleen Custodio's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathleen Custodio was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.