Individual provider Active NPI

Katherine Emerson Butler, MFT

  • Marriage & Family Therapist
  • Soquel, CA
National Provider Identifier
1659533743
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC28303 Issued in 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
Last updated
Jun 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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 MFC28303 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 9, 2024 through Feb 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28303CAMDClinical Social Worker
MFC28303CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1659533743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 PORTER ST",
            "address_2": "ROOM 209",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732458",
            "telephone_number": "831-464-8541",
            "fax_number": "831-426-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 PORTER ST",
            "address_2": "ROOM 209",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732458",
            "telephone_number": "831-464-8541",
            "fax_number": "831-426-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KATHERINE",
        "middle_name": "EMERSON",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

Verify at the official NPI Registry.