Katherine Emerson Butler, MFT
Individual provider Active NPI Marriage & Family Therapist · Soquel, CA
NPI 1659533743 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1659533743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC28303 (CA)
- Practice address
- 2715 Porter St
Room 209
Soquel, CA 95073-2458 - Phone
- (831) 464-8541
- Fax
- (831) 426-3241
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Feb 9, 2024 through Feb 9, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28303 | CA | MD | Clinical Social Worker |
| MFC28303 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC28303 | CA | Yes |
Addresses
Primary practice location
2715 Porter St
Room 209
Soquel, CA 95073-2458
Mailing address
2715 Porter St
Room 209
Soquel, CA 95073-2458
Phone (831) 464-8541
Other providers in Soquel, CA
- Brian Anthony Chiropractic Inc
- Cindy Brooks
- Nareh Valerie Burgren
- Thomas M Burke
- Jenny Silber Butah
- Lorraine Kay Butterworth
- McKenzie Caborn
- Lorraine Susan Cahn
- Lawrence Calderon
- Victoria A Campbell
All providers in Soquel, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.