Individual provider Active NPI

Kara Jane Holmes Vesely, LMFT 93680

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1366975237
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2105 Martin Luther King Jr Way FL 1
Berkeley, CA 94704-1108
Phone
(188) 858-8995
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93680 CA
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2105 Martin Luther King Jr Way FL 1
Berkeley, CA 94704-1108

Mailing address

2105 Martin Luther King Jr Way FL 1
Berkeley, CA 94704-1108

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
93680CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adolescent Growth, Inc Past Accepting new patients
Adolescent Growth, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1366975237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 MARTIN LUTHER KING JR WAY FL 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 MARTIN LUTHER KING JR WAY FL 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041108",
            "telephone_number": "188-858-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESELY",
        "first_name": "KARA",
        "middle_name": "JANE HOLMES",
        "name_prefix": "Miss",
        "credential": "LMFT 93680",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93680",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.