Healthcare Provider Details

I. General information

NPI: 1013820364
Provider Name (Legal Business Name): KAILA PREDNEY MA, LPCC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 CORPORATE PLAZA DR STE 150
NEWPORT BEACH CA
92660-7908
US

IV. Provider business mailing address

23 CORPORATE PLAZA DR STE 150
NEWPORT BEACH CA
92660-7908
US

V. Phone/Fax

Practice location:
  • Phone: 949-629-2560
  • Fax:
Mailing address:
  • Phone: 949-629-2566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number23930
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: