Individual provider Active NPI

Kalene Khan

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1578894895
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF66139 Issued in CA
Practice address
900 Howe Ave Ste 230
Sacramento, CA 95825-3941
Phone
(916) 245-7329
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF66139 CA Primary
Counselor 101Y00000X IMF66139 CA

Addresses

Primary practice location

900 Howe Ave Ste 230
Sacramento, CA 95825-3941

Mailing address

1750 Prairie City Rd Ste 130
Folsom, CA 95630-9597
Phone (401) 236-7206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF66139CAMDMarriage & Family Therapist
99357CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness for Humanity Marriage and Family Therapy PC Marriage & Family Therapist CurrentSince Mar 12, 2024 Accepting new patients

Locations

900 Howe Ave
Ste 230
Sacramento, CA 95825
Phone (916) 245-7329

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1578894895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 PRAIRIE CITY RD STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309597",
            "telephone_number": "401-236-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOWE AVE STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253941",
            "telephone_number": "916-245-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KALENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF66139",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "IMF66139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.