Karie L Klim, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC101425 Issued in CA

Practice address

170 Farmers Lane Suite 6B
Santa Rosa, CA 95405-4773

Phone

(707) 888-0106

Fax

(707) 539-8890

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Karie Louise Thulon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1841549979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "SAINT MARIES",
            "state": "ID",
            "postal_code": "838610367",
            "telephone_number": "707-888-0106",
            "fax_number": "707-539-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FARMERS LANE SUITE 6B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054773",
            "telephone_number": "707-888-0106",
            "fax_number": "707-539-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIM",
        "first_name": "KARIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-8721",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC101425",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIE",
            "last_name": "THULON",
            "middle_name": "LOUISE",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard M. Klekman, MD
• Suzanne Claire Klekner, LCSW
• John Martin Klemm, MD
• Ned Kletz, MD
• James Klim, DDS
• Gilbert W Kliman, M.D.
• Kristin Anne Kline, AU.D
• Erika Lynn Klohe
• Michael S. Knappman
• Clare Knauss, LPCC

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.