Individual provider Active NPI

Karrie J Pehle, MFT

  • Marriage & Family Therapist
  • Bayside, CA
National Provider Identifier
1902909930
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT41608 Issued in CA
Practice address
540 Hidden Valley Rd
Bayside, CA 95524-9049
Phone
(209) 544-1031
NPI assigned
Sep 6, 2006
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 LMFT41608 CA Primary

Addresses

Primary practice location

540 Hidden Valley Rd
Bayside, CA 95524-9049

Mailing address

540 Hidden Valley Rd
Bayside, CA 95524-9049
Phone (209) 544-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530000448 CA Practitioner - Marriage and Family Therapist 2567971849 Practice locations: Bayside, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bayside, CA 95524
Phone (209) 544-1031

540 Hidden Valley Rd
Bayside, CA 95524-9049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT41608CAMDMarriage & Family Therapist
41608CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1902909930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HIDDEN VALLEY RD",
            "city": "BAYSIDE",
            "state": "CA",
            "postal_code": "955249049",
            "telephone_number": "209-544-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HIDDEN VALLEY RD",
            "city": "BAYSIDE",
            "state": "CA",
            "postal_code": "955249049",
            "telephone_number": "209-544-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEHLE",
        "first_name": "KARRIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT41608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, CA

Sources for this page

Verify at the official NPI Registry.