Individual provider Active NPI

Cheryl Lynn Klem, LMFT

  • Marriage & Family Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1245048586
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114806 Issued in CA
Practice address
30240 Rancho Viejo Rd Ste C
San Juan Capistrano, CA 92675-1515
Phone
(949) 444-2570
NPI assigned
Dec 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 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 114806 CA Primary

Addresses

Primary practice location

30240 Rancho Viejo Rd Ste C
San Juan Capistrano, CA 92675-1515

Mailing address

30240 Rancho Viejo Rd Ste C
San Juan Capistrano, CA 92675-1515
Phone (949) 444-2570

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
114806CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Family Therapists Inc CurrentSince Dec 22, 2024 Accepting new patients

Locations

30240 Rancho Viejo Rd
Ste C
San Juan Capistrano, CA 92675
Phone (949) 444-2570

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": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1245048586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30240 RANCHO VIEJO RD STE C",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751515",
            "telephone_number": "949-444-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30240 RANCHO VIEJO RD STE C",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751515",
            "telephone_number": "949-444-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEM",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.