Individual provider Active NPI

Caroline Munden, LMFT

  • Marriage & Family Therapist
  • Narberth, PA
National Provider Identifier
1528643178
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001016 Issued in PA
Practice address
412 Anthwyn Rd
Narberth, PA 19072-2302
Phone
(215) 480-0173
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001016 PA Primary

Addresses

Primary practice location

412 Anthwyn Rd
Narberth, PA 19072-2302

Mailing address

412 Anthwyn Rd
Narberth, PA 19072-2302
Phone (215) 480-0173

Other identifiers 1

IdentifierTypeStateIssuer
45-4471570MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL .com Direct

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

LicenseStateTypeSpecialty
001016PAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1528643178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ANTHWYN RD",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722302",
            "telephone_number": "215-480-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ANTHWYN RD",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722302",
            "telephone_number": "215-480-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDEN",
        "first_name": "CAROLINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "001016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-4471570",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "412 Anthwyn Rd",
            "city": "Narberth",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190722302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.