Individual provider Active NPI

Karen Ouse, LMFT

  • Marriage & Family Therapist
  • Aptos, CA
National Provider Identifier
1376750364
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47829 Issued in CA
Practice address
9515 Soquel Dr Ste 212
Aptos, CA 95003
Phone
(831) 689-7676
Fax
(844) 318-0890
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

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 IMF 47115 CA
Marriage & Family Therapist 106H00000X 47829 CA Primary

Addresses

Primary practice location

9515 Soquel Dr Ste 212
Aptos, CA 95003

Mailing address

9515 Soquel Dr Ste 212
Aptos, CA 95003-4137
Phone (831) 689-7676

Other identifiers 2

IdentifierTypeStateIssuer
47829OtherCALICENSED MARRIAGE & FAMILY THERAPIST
47115OtherCAIMF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 18, 2024 through Sep 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
47829CAMDMarriage & Family Therapist
IMF 47115CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1376750364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 SOQUEL DR STE 212",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034137",
            "telephone_number": "831-689-7676",
            "fax_number": "844-318-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 SOQUEL DR STE 212",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95003",
            "telephone_number": "831-689-7676",
            "fax_number": "844-318-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUSE",
        "first_name": "KAREN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 47115",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE & FAMILY THERAPIST",
            "identifier": "47829",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMF",
            "identifier": "47115",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

Verify at the official NPI Registry.