Individual provider Active NPI

Katherine Marie Westengard, MA, LMFT

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1942556139
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89040 Issued in CA
Practice address
104 E Olive Ave Ste 201
Redlands, CA 92373-5255
Phone
(513) 645-3752
Fax
(951) 848-6277
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 89040 CA Primary

Addresses

Primary practice location

104 E Olive Ave Ste 201
Redlands, CA 92373-5255

Mailing address

1579 Valley Falls Ave
Redlands, CA 92374-2776
Phone (513) 645-3752

Other practice location 1

1812 W Park Ave
Redlands, CA 92373-8014
Phone (909) 528-1728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
89040CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino County Superintendent of Schools Past Accepting new patients
San Bernardino County Superintendent of Schools Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1942556139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 VALLEY FALLS AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742776",
            "telephone_number": "513-645-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE STE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "513-645-3752",
            "fax_number": "951-848-6277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923738014",
            "country_code": "US",
            "telephone_number": "909-528-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTENGARD",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.