Individual provider Active NPI

Karen Sadewater Wilson

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1588081418
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT106026 Issued in CA
Practice address
11896 Welby PL
Moreno Valley, CA 92557-6444
Phone
(562) 225-4150
NPI assigned
Mar 28, 2014
Last updated
Jan 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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 LMFT106026 CA Primary

Addresses

Primary practice location

11896 Welby PL
Moreno Valley, CA 92557-6444

Mailing address

14068 Graham St Ste 202
Moreno Valley, CA 92553-8830
Phone (951) 649-9385

Other practice location 1

17862 17th St Ste 107
Tustin, CA 92780-2170
Phone (146) 615-3907

Other names 1

  • Karen Lynnette Sadewater Former name

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
I20240124003308 CA Practitioner - Marriage and Family Therapist 7618320870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT106026CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Conversations Marriage and Family Therapy Inc Marriage & Family Therapist CurrentSince Aug 11, 2024 Accepting new patients
Pathways Community Services LLC PastSince May 7, 2024 Accepting new patients
Childnet Youth and Family Services Inc Past Accepting new patients
Allyson Wells MD Inc PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1588081418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14068 GRAHAM ST STE 202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538830",
            "telephone_number": "951-649-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11896 WELBY PL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576444",
            "telephone_number": "562-225-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17862 17th St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927802170",
            "country_code": "US",
            "telephone_number": "146-615-3907",
            "fax_number": "714-661-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAREN",
        "middle_name": "SADEWATER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT106026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SADEWATER",
            "middle_name": "LYNNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.