Individual provider Active NPI

Karina Marie Feichtmann

  • Marriage & Family Therapist
  • Costa Mesa, CA
National Provider Identifier
1639946726
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138334 Issued in CA
Practice address
151 Kalmus Dr Ste 100
Costa Mesa, CA 92626-5988
Phone
(714) 558-9266
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 138334 CA Primary

Addresses

Primary practice location

151 Kalmus Dr Ste 100
Costa Mesa, CA 92626-5988

Mailing address

1633 E 4TH St Ste 120
Santa Ana, CA 92701-5143
Phone (714) 558-9266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2024 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1639946726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 E 4TH ST STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015143",
            "telephone_number": "714-558-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265988",
            "telephone_number": "714-558-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEICHTMANN",
        "first_name": "KARINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.