Active NPI
Kaitlin Elizabeth Soule, LMFT
- Marriage & Family Therapist
- Petaluma, CA
National Provider Identifier
1386999514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT93947
- Practice address
- 755 Baywood Dr Ste 254
Petaluma, CA 94954-5508 - Phone
- (707) 658-4544
- NPI assigned
- Jul 13, 2012
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT93947 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
755 Baywood Dr Ste 254
Petaluma, CA 94954-5508
Mailing address
2234 Aaron CT
Petaluma, CA 94954-3881
Phone (707) 291-6118
Other practice location 1
450 Stanyan St
San Francisco, CA 94117-1019
Phone (707) 291-6118
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT93947 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386999514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 AARON CT",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543881",
"telephone_number": "707-291-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 BAYWOOD DR STE 254",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949545508",
"telephone_number": "707-658-4544"
}
],
"practiceLocations": [
{
"address_1": "450 Stanyan St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941171019",
"country_code": "US",
"telephone_number": "707-291-6118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOULE",
"first_name": "KAITLIN",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT93947",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
- Sonoma Home Health Care Inc
- Sonoma Pain Management, Inc
- Sonoma Recovery Services, LLC
- Sonoma Therapeutic Arts and Education, a Psychological Corporation
- Emani Ann Sosa
- Priya Clarke Sowerby
- Timothy M Sowerby, MD
- Speech Pathology Services of Marin Sonoma Incorportated
- Amanda Bernice Eyges Spencer, PSY.D.
- Jordan Dane Spencer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.