Active NPI
Karin Charlotta Weiri-Kolle, LMFT
- Marriage & Family Therapist
- Orange City, FL
National Provider Identifier
1932106903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT 1992
- Practice address
- 2425 S Volusia Ave
Suite B2
Orange City, FL 32763-7625 - Phone
- (386) 848-5170
- Fax
- (386) 740-8251
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT 1992 | FL | Primary |
Addresses
Primary practice location
2425 S Volusia Ave
Suite B2
Orange City, FL 32763-7625
Mailing address
2425 S Volusia Ave
Suite B2
Orange City, FL 32763-7625
Phone (386) 848-5170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7618441 00 | Medicaid | FL | |
| 1932106903 | Other | FL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT 1992 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1932106903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 S VOLUSIA AVE",
"address_2": "SUITE B2",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637625",
"telephone_number": "386-848-5170",
"fax_number": "386-740-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S VOLUSIA AVE",
"address_2": "SUITE B2",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637625",
"telephone_number": "386-848-5170",
"fax_number": "386-740-8251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIRI-KOLLE",
"first_name": "KARIN",
"middle_name": "CHARLOTTA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 1992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7618441 00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1932106903",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.