Individual provider Active NPI

Karre Rose Winge, LMFT, CADCII

  • Marriage & Family Therapist
  • San Jacinto, CA
National Provider Identifier
1730495730
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT120153 Issued in CA
Practice address
607 Donna Way
San Jacinto, CA 92583-5517
Phone
(951) 654-0803
Fax
(951) 487-2448
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 208 CA
Professional Counselor 101YP2500X PCCI3905 CA
Marriage & Family Therapist 106H00000X IMF99922 CA
Marriage & Family Therapist 106H00000X LMFT120153 CA Primary

Addresses

Primary practice location

607 Donna Way
San Jacinto, CA 92583-5517

Mailing address

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone (909) 864-1097

Other practice location 1

Riverside San Bernardino County Indian Health, Inc.
11980 Mount Vernon Avenue
Grand Terrace, CA 92313-5172
Phone (951) 442-3443

Other identifiers 1

IdentifierTypeStateIssuer
OTHERMedicaidCA

Other names 1

  • Miss Karre Rose Palacios Former name

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

LicenseStateTypeSpecialty
PCCI3905CAMDProfessional Counselor
IMF99922CAMDMarriage & Family Therapist
LMFT120153CAMDMarriage & Family Therapist
208CAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1730495730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 MOUNT VERNON AVE",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135172",
            "telephone_number": "909-864-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 DONNA WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835517",
            "telephone_number": "951-654-0803",
            "fax_number": "951-487-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Riverside San Bernardino County Indian Health, Inc.",
            "address_2": "11980 Mount Vernon Avenue",
            "address_purpose": "LOCATION",
            "city": "Grand Terrace",
            "state": "CA",
            "postal_code": "923135172",
            "country_code": "US",
            "telephone_number": "951-442-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGE",
        "first_name": "KARRE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LMFT, CADCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "208",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCCI3905",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF99922",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT120153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OTHER",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARRE",
            "last_name": "PALACIOS",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "CADC II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.