Active NPI
Karen Pascoe, AMFT
- Marriage & Family Therapist
- Corte Madera, CA
National Provider Identifier
1689317489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130422
- Practice address
- 300 Tamal PLZ Ste 220
Corte Madera, CA 94925-1136 - Phone
- (415) 779-0920
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 130422 | CA | Primary |
Addresses
Primary practice location
300 Tamal PLZ Ste 220
Corte Madera, CA 94925-1136
Mailing address
PO Box 606
Fairfax, CA 94978-0606
Phone (415) 779-0920
Other names 1
- Karyn, Kiki Pascoe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130422 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1689317489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 606",
"city": "FAIRFAX",
"state": "CA",
"postal_code": "949780606",
"telephone_number": "415-779-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TAMAL PLZ STE 220",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251136",
"telephone_number": "415-779-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCOE",
"first_name": "KAREN",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARYN, KIKI",
"last_name": "PASCOE",
"credential": "AMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.