Provider Demographics
NPI:1477424570
Name:KIVELA, ANGELA B (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:B
Last Name:KIVELA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4860 TELEPHONE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-0213
Mailing Address - Country:US
Mailing Address - Phone:805-738-5534
Mailing Address - Fax:
Practice Address - Street 1:1280 S VICTORIA AVE STE 130
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6550
Practice Address - Country:US
Practice Address - Phone:805-738-5534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT155165106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist