Active NPI
Karre Rose Winge, LMFT, CADCII
- Marriage & Family Therapist
- San Jacinto, CA
National Provider Identifier
1730495730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT120153
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTHER | Medicaid | CA |
Other names 1
- Miss Karre Rose Palacios
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 |
|---|---|---|---|
| PCCI3905 | CA | MD | Professional Counselor |
| IMF99922 | CA | MD | Marriage & Family Therapist |
| LMFT120153 | CA | MD | Marriage & Family Therapist |
| 208 | CA | MD | Adult 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.