Katie Jo Sanford, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC3627 Issued in CA

Practice address

11650 Riverside Dr Ste 10
Studio City, CA 91602

Phone

(818) 272-7111

NPI assigned

Nov 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Jo Kloet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1932401932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 MOORPARK ST APT 209",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041392",
            "telephone_number": "818-272-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DR STE 10",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91602",
            "telephone_number": "818-272-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 S La Fayette Park Pl",
            "address_2": "#6",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900573251",
            "country_code": "US",
            "telephone_number": "213-381-3629",
            "fax_number": "213-380-8923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "KATIE",
        "middle_name": "JO",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KLOET",
            "middle_name": "JO",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Studio City, CA
• Providers in Studio City, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.