Katy Marie Bartenhagen, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52778 Issued in CA

Practice address

1101 S Winchester Blvd
Ste. N265
San Jose, CA 95128-3901

Phone

(408) 823-1882

NPI assigned

Feb 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katy Marie Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1316125586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 COLEMAN RD APT 4301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236720",
            "telephone_number": "408-823-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD",
            "address_2": "STE. N265",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283901",
            "telephone_number": "408-823-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTENHAGEN",
        "first_name": "KATY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-09",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52778",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "HENDERSON",
            "middle_name": "MARIE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernie Dion Barrozo
• Jessika Barry
• Bryna Gayle Barskyex, PH.D.
• Krikor Barsoumian, M.D.
• Elizabeth Bart, B.C.B.A.
• Elizabeth Ann Bartholomew, FNP-BC
• Mary Frances Anak Bartholomew
• Michael James Bartkowski, AA
• Jennifer Leigh Bartlett, OPTICIAN
• Stephen Edward Bartlinski, ATC, PTA

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.