Individual provider Active NPI

Karen D Flynn, MFT

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1750401709
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37080 Issued in CA
Practice address
391 Taylor Blvd Ste 100
Pleasant Hill, CA 94523-2289
Phone
(925) 608-6550
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 37080 CA Primary

Addresses

Primary practice location

391 Taylor Blvd Ste 100
Pleasant Hill, CA 94523-2289

Mailing address

391 Taylor Blvd Ste 100
Pleasant Hill, CA 94523-2289
Phone (925) 608-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2025 through Jan 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37080CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1750401709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD STE 100",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232289",
            "telephone_number": "925-608-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD STE 100",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232289",
            "telephone_number": "925-608-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "KAREN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "37080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.