Individual provider Active NPI

Karelin Sue Wadkins, LMFT

  • Marriage & Family Therapist
  • Fair Oaks, CA
National Provider Identifier
1861708919
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85877 Issued in CA
Practice address
9178 Saddle Ridge Way
Fair Oaks, CA 95628
Phone
(916) 546-1887
NPI assigned
Aug 27, 2010
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 85877 CA Primary

Addresses

Primary practice location

9178 Saddle Ridge Way
Fair Oaks, CA 95628

Mailing address

9178 Saddle Ridge Way
Fair Oaks, CA 95628-6554
Phone (916) 546-1887

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ascentonlinecounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 21, 2024 through Aug 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85877CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Park Counseling Center Past Accepting new patients
Cameron Park Counseling Center, Inc. PastSince May 26, 2010 Accepting new patients

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1861708919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9178 SADDLE RIDGE WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286554",
            "telephone_number": "916-546-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9178 SADDLE RIDGE WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-546-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADKINS",
        "first_name": "KARELIN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ascentonlinecounseling.com",
            "affiliation": "N",
            "endpointDescription": "online",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9178 Saddle Ridge Way",
            "city": "Fair Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.