Katheryn Elizabeth De Arakal

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

IMF98360 Issued in CA

Practice address

595 E Colorado Blvd Ste 612
Pasadena, CA 91101-2015

Phone

(626) 415-7131

NPI assigned

Feb 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katheryn Elizabeth Smith Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Emmaus Road Christian Counseling

  • Marriage & Family Therapist
  • San Dimas, CA
  • NPI 1770008153
  Medicare reassignment NPD

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1154887859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S MYRTLE AVE # 199",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163423",
            "telephone_number": "626-415-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 612",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012015",
            "telephone_number": "626-415-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Covina Blvd Ste 120A",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917733205",
            "country_code": "US",
            "telephone_number": "909-979-3722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE ARAKAL",
        "first_name": "KATHERYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "IMF98360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERYN",
            "last_name": "SMITH",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharie Day
• Parvaneh Dayani, L.AC
• Diana Garcia De Alba, LMFT
• Amy De Anda
• Edward De Anda, PSYD
• Rhiannon Megan De Carlo, MFT
• Jocelyn Pestanas De Castro, RN
• Jocelynne Estandian De Castro, RN
• Ma Sofia B De Castro, P.T.
• Isabel De Guzman, PA-C

• Counseling Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.