Individual provider Active NPI

Katherine Sweetser, MA, MFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1114018538
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 37227 Issued in CA
Practice address
3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Phone
(808) 987-8285
Fax
(808) 331-1474
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 37227 CA Primary
Marriage & Family Therapist 106H00000X MFT 83 HI

Addresses

Primary practice location

3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250

Mailing address

3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Phone (805) 642-4611

Other identifiers 1

IdentifierTypeStateIssuer
51876401MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708003570 CA Practitioner - Marriage and Family Therapist 6103361738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1140
Phone (323) 968-6182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFT 37227CAMDMarriage & Family Therapist
MFT 83HIMDMarriage & Family Therapist
37227CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Beachside Adult and Family Therapy Inc Marriage & Family Therapist CurrentSince Jun 21, 2024 Accepting new patients

Locations

3160 Telegraph Rd
Ste 200
Ventura, CA 93003
Phone (805) 620-0346

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1114018538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033250",
            "telephone_number": "805-642-4611",
            "fax_number": "805-585-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033250",
            "telephone_number": "808-987-8285",
            "fax_number": "808-331-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETSER",
        "first_name": "KATHERINE",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 37227",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT 83",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51876401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.