Karrie J Pehle, MFT

Individual provider Active NPI Marriage & Family Therapist · Bayside, CA

NPI 1902909930 · NPPES record last updated Jun 22, 2026

Key facts

NPI
1902909930
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
LMFT41608 (CA)
Practice address
540 Hidden Valley Rd
Bayside, CA 95524-9049
Phone
(209) 544-1031
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
MFC41608CAMDMarriage & Family Therapist
41608CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT41608 CA Yes

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

Other providers in Bayside, CA

All providers in Bayside, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.