Individual provider Active NPI

Margaret Lorraine Koler, MFTI

  • Marriage & Family Therapist
  • Cameron Park, CA
National Provider Identifier
1124215611
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF42591 Issued in CA
Practice address
3460 Robin LN
Suite 10
Cameron Park, CA 95682-8457
Phone
(530) 672-1332
Fax
(530) 672-1331
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF42591 CA Primary

Addresses

Primary practice location

3460 Robin LN
Suite 10
Cameron Park, CA 95682-8457

Mailing address

3460 Robin LN
Suite 10
Cameron Park, CA 95682-8457
Phone (530) 672-1332

Other identifiers 1

IdentifierTypeStateIssuer
IMF42591OtherCACABBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF42591CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1124215611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 ROBIN LN",
            "address_2": "SUITE 10",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828457",
            "telephone_number": "530-672-1332",
            "fax_number": "530-672-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 ROBIN LN",
            "address_2": "SUITE 10",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828457",
            "telephone_number": "530-672-1332",
            "fax_number": "530-672-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLER",
        "first_name": "MARGARET",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF42591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CABBS",
            "identifier": "IMF42591",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.