Individual provider Active NPI

Tirian Ann Klein, MFTI

  • Mental Health Counselor
  • Exeter, CA
National Provider Identifier
1578738753
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMF 78811 Issued in CA
Practice address
516 N Kaweah Ave
Exeter, CA 93221-1200
Phone
(559) 594-4969
Fax
(559) 594-4308
NPI assigned
Apr 28, 2008
Last updated
Jul 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF 78811 CA Primary

Addresses

Primary practice location

516 N Kaweah Ave
Exeter, CA 93221-1200

Mailing address

516 N Kaweah Ave
Exeter, CA 93221-1200
Phone (559) 594-4969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205002194 CA Practitioner - Marriage and Family Therapist 6608369715 Practice locations: Kingsburg, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1445 Marion St
Suite C
Kingsburg, CA 93631-1928
Phone (559) 859-4457

1673 Winter St
Kingsburg, CA 93631-1330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF 78811CAMDMental Health Counselor
89051CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1578738753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N KAWEAH AVE",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211200",
            "telephone_number": "559-594-4969",
            "fax_number": "559-594-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N KAWEAH AVE",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211200",
            "telephone_number": "559-594-4969",
            "fax_number": "559-594-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TIRIAN",
        "middle_name": "ANN",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF 78811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, CA

Sources for this page

Verify at the official NPI Registry.