Active NPI
Karen Lese-Fowler, PH.D.
- Counseling Psychologist
- San Diego, CA
National Provider Identifier
1386189488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY16282
- Practice address
- 3990 Old Town Ave Ste C106
San Diego, CA 92110-2968 - Phone
- (619) 764-6516
- Fax
- (619) 880-5950
- NPI assigned
- Dec 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY16282 | CA | Primary |
Addresses
Primary practice location
3990 Old Town Ave Ste C106
San Diego, CA 92110-2968
Mailing address
3990 Old Town Ave Ste C106
San Diego, CA 92110-2968
Phone (619) 764-6516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 3, 2024 through Jun 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16282 | CA | MD | Counseling Psychologist |
| 16282 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1386189488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 OLD TOWN AVE STE C106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921102968",
"telephone_number": "619-764-6516",
"fax_number": "619-764-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 OLD TOWN AVE STE C106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921102968",
"telephone_number": "619-764-6516",
"fax_number": "619-880-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESE-FOWLER",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-27",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY16282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.