Jonathan Bradley Karber, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

200875 Issued in TX

Practice address

4686 Bristol Trace TRL
Keller, TX 76248-6947

Phone

(817) 300-1590

Fax

(817) 886-0504

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2024 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1861698599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 PEARL OYSTER LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797563",
            "telephone_number": "817-320-4619",
            "fax_number": "817-306-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 BRISTOL TRACE TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486947",
            "telephone_number": "817-300-1590",
            "fax_number": "817-886-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBER",
        "first_name": "JONATHAN",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61895",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "200875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1844409-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Keller, TX
• Providers in Keller, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.