Individual provider Active NPI

Karen Beth McIntyre-Burke, M.A.

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1164737664
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49134 Issued in CA
Practice address
767 N Ventura Ave
Ventura, CA 93001-1944
Phone
(805) 312-3421
Fax
(805) 248-5244
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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 49134 CA Primary

Addresses

Primary practice location

767 N Ventura Ave
Ventura, CA 93001-1944

Mailing address

5162 Teton LN
Ventura, CA 93003-6461
Phone (805) 312-3421

Other identifiers 1

IdentifierTypeStateIssuer
IMF49434OtherCACA BOARD OF BEHAVIORAL SCIENCES

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
I20250428004085 CA Practitioner - Marriage and Family Therapist 4981120409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Behavioral Health IncGroup PAC ID 6204272271, 14 clinicians

Practice addresses (Care Compare)

993 W 7TH St
Oxnard, CA 93030-6757
Phone (805) 626-0325

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Behavioral Health Inc Marriage & Family Therapist CurrentSince Jan 10, 2025 Accepting new patients

Locations

993 W 7th St
Oxnard, CA 93030
Phone (805) 483-9565

767 N Ventura Ave
Ventura, CA 93001
Phone (805) 312-3421

1500 Palma Dr
Fl 2
Ventura, CA 93003
Phone (805) 284-1783

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1164737664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 TETON LN",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036461",
            "telephone_number": "805-312-3421",
            "fax_number": "805-248-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 N VENTURA AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930011944",
            "telephone_number": "805-312-3421",
            "fax_number": "805-248-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE-BURKE",
        "first_name": "KAREN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "IMF49434",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.