Individual provider Active NPI

Kristen Muche, LCSW

  • Clinical Social Worker
  • South Pasadena, CA
National Provider Identifier
1932662194
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
82170 Issued in CA
Practice address
1101 Fremont Ave Ste 101
South Pasadena, CA 91030-5704
Phone
(323) 680-8071
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9946-C NV
Clinical Social Worker 1041C0700X 13217414-3501 UT
Clinical Social Worker 1041C0700X SW23125 FL
Clinical Social Worker 1041C0700X L14361 OR
Clinical Social Worker 1041C0700X 82170 CA Primary

Addresses

Primary practice location

1101 Fremont Ave Ste 101
South Pasadena, CA 91030-5704

Mailing address

1101 Fremont Ave Ste 101
South Pasadena, CA 91030-5704
Phone (323) 680-8071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23125FLMDClinical Social Worker
9946-CNVMDClinical Social Worker
L14361ORMDClinical Social Worker
13217414-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1932662194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FREMONT AVE STE 101",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305704",
            "telephone_number": "323-680-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FREMONT AVE STE 101",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305704",
            "telephone_number": "323-680-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHE",
        "first_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9946-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13217414-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L14361",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.