Active NPI
Kara-Leigh Jacobsen Huse, ATR-BC
- Art Therapist
- Ramona, CA
National Provider Identifier
1457082430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 17-296
- Practice address
- 16439 Daza Dr
Ramona, CA 92065-4612 - Phone
- (626) 833-5307
- NPI assigned
- Jun 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 17-296 | Primary |
Addresses
Primary practice location
16439 Daza Dr
Ramona, CA 92065-4612
Mailing address
16439 Daza Dr
Ramona, CA 92065-4612
Phone (626) 833-5307
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1457082430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16439 DAZA DR",
"city": "RAMONA",
"state": "CA",
"postal_code": "920654612",
"telephone_number": "626-833-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16439 DAZA DR",
"city": "RAMONA",
"state": "CA",
"postal_code": "920654612",
"telephone_number": "626-833-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSE",
"first_name": "KARA-LEIGH",
"middle_name": "JACOBSEN",
"credential": "ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": "17-296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.