Active NPI
Katherine T T Kooyman
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1508686536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT103202
- Practice address
- 100 Cadillac Dr Apt 94
Sacramento, CA 95825-5465 - Phone
- (510) 439-8253
- NPI assigned
- Oct 15, 2024
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LEP3995 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT103202 | CA | Primary |
Addresses
Primary practice location
100 Cadillac Dr Apt 94
Sacramento, CA 95825-5465
Mailing address
100 Cadillac Dr Apt 94
Sacramento, CA 95825-5465
Phone (510) 439-8253
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 |
|---|---|---|---|
| LEP3995 | CA | MD | School Psychologist |
| LMFT103202 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1508686536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CADILLAC DR APT 94",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958255465",
"telephone_number": "510-439-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CADILLAC DR APT 94",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958255465",
"telephone_number": "510-439-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOYMAN",
"first_name": "KATHERINE T",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "LEP3995",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT103202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.