DOUGLAS ALLAN KITCHEN LMFT
NPI 1417097072
Marriage & Family Therapist in Corona, CA

Q: What is Douglas Kitchen's NPI number?

The NPI number for Douglas Kitchen is 1417097072. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is Douglas Kitchen'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 Douglas Kitchen was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 February 06, 2007PECOS Enrolled

4160 TEMESCAL CANYON RD STE 205, CORONA, CA 92883(858) 279-1223 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Douglas Allan Kitchen Lmft NPPES

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

DOUGLAS ALLAN KITCHEN LMFT (NPI 1417097072) is an individual marriage & family therapist in Corona, California, licensed in California (47575) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Cucamonga, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1417097072

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDOUGLAS ALLAN KITCHENCredential: LMFT

Location Address4160 TEMESCAL CANYON RD STE 205Corona, CA 92883-4624

Mailing Address4160 Temescal Canyon Rd Ste 205Corona, CA 92883-4624 · (858) 279-1223

Phone(858) 279-1223

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateFebruary 6, 2007

Last NPPES UpdateFebruary 24, 2025

NPPES CertifiedFebruary 24, 2025

✔ NPI 1417097072 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 · 47575

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.

4160 TEMESCAL CANYON RD STE 205, Corona, CA 92883

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Secondary Practice Location 1

Location 19047 Arrow Rte, Sutie 170Rancho Cucamonga, CA 91730-4449 · Phone (909) 466-8696

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Allan Kitchen Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678094075

PECOS Enrollment IDI20250228003142

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.

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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.

DR. SUSAN QUARTARONE PSY.D.

Psychologist (Clinical)