Individual provider Active NPI

Kathy Lynn Wolfe, MFT

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1720244908
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34971 Issued in CA
Practice address
26359 Jefferson Ave Ste H
Murrieta, CA 92562-6975
Phone
(951) 461-0777
Fax
(951) 461-0778
NPI assigned
Aug 6, 2008
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 MFC34971 CA Primary

Addresses

Primary practice location

26359 Jefferson Ave Ste H
Murrieta, CA 92562-6975

Mailing address

26359 Jefferson Ave Ste H
Murrieta, CA 92562-6975
Phone (951) 461-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 12, 2024 through Jun 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC34971CAMDMarriage & Family Therapist
34971CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1720244908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26359 JEFFERSON AVE STE H",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626975",
            "telephone_number": "951-461-0777",
            "fax_number": "951-461-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26359 JEFFERSON AVE STE H",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626975",
            "telephone_number": "951-461-0777",
            "fax_number": "951-461-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.