Active NPI
Katherine Meadows
- Clinical Social Worker
- Beale AFB, CA
National Provider Identifier
1811183247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 89352
- Practice address
- 15301 Warren Shingle Rd
Beale AFB, CA 95903-1907 - Phone
- (530) 634-3420
- Fax
- (530) 634-4812
- NPI assigned
- Sep 19, 2007
- Last updated
- Oct 22, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | ASW66014 | CA | |
| Social Worker | 104100000X | 66014 | CA | |
| Clinical Social Worker | 1041C0700X | 89352 | CA | Primary |
Addresses
Primary practice location
15301 Warren Shingle Rd
Beale AFB, CA 95903-1907
Mailing address
15301 Warren Shingle Rd
Beale AFB, CA 95903-1907
Phone (530) 634-3420
Other practice location 1
202 Providence Mine Rd Ste 105
Nevada City, CA 95959-2945
Phone (530) 575-5247
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 |
|---|---|---|---|
| ASW66014 | CA | MD | Mental Health Counselor |
| 89352 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Interoperability endpoints
- katherinemeadows@tdh.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1811183247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15301 WARREN SHINGLE RD",
"city": "BEALE AFB",
"state": "CA",
"postal_code": "959031907",
"telephone_number": "530-634-3420",
"fax_number": "530-634-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 WARREN SHINGLE RD",
"city": "BEALE AFB",
"state": "CA",
"postal_code": "959031907",
"telephone_number": "530-634-3420",
"fax_number": "530-634-4812"
}
],
"practiceLocations": [
{
"address_1": "202 Providence Mine Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Nevada City",
"state": "CA",
"postal_code": "959592945",
"country_code": "US",
"telephone_number": "530-575-5247",
"fax_number": "530-265-7849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADOWS",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW66014",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "66014",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "89352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beale AFB, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.