Individual provider Active NPI

Kaitlyn Alice Formhals, MA, PLPC, PLMFT

  • Marriage & Family Therapist
  • Monroe, LA
National Provider Identifier
1821985748
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
PLM1596 Issued in LA
Practice address
1105 Hudson LN
Monroe, LA 71201-6003
Phone
(318) 322-6500
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PLC10782 LA
Marriage & Family Therapist 106H00000X PLM1596 LA Primary

Addresses

Primary practice location

1105 Hudson LN
Monroe, LA 71201-6003

Mailing address

314 Cedarbrook Dr
Monroe, LA 71203-2986
Phone (406) 261-7060

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PLC10782LAMDProfessional Counselor
PLM1596LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions Counseling Center Marriage & Family Therapist CurrentSince Jun 29, 2025 Accepting new patients
Family Solutions Pediatrics, LLC PastSince Jun 29, 2025 Accepting new patients

Locations

1105 Hudson Ln
Monroe, LA 71201
Phone (318) 281-2448

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1821985748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CEDARBROOK DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032986",
            "telephone_number": "406-261-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 HUDSON LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016003",
            "telephone_number": "318-322-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMHALS",
        "first_name": "KAITLYN",
        "middle_name": "ALICE",
        "credential": "MA, PLPC, PLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC10782",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "PLM1596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.