Individual provider Active NPI

Kara Ludmilla Wahlin, M.A.

  • Marriage & Family Therapist
  • Palm Desert, CA
National Provider Identifier
1942671615
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53003 Issued in CA
Practice address
74075 El Paseo Ste A2A
Palm Desert, CA 92260-4118
Phone
(650) 308-4188
Fax
(760) 568-6175
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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 53003 CA Primary

Addresses

Primary practice location

74075 El Paseo Ste A2A
Palm Desert, CA 92260-4118

Mailing address

74075 El Paseo Ste A2A
Palm Desert, CA 92260-4118
Phone (650) 308-4188

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1942671615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74075 EL PASEO STE A2A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604118",
            "telephone_number": "650-308-4188",
            "fax_number": "760-568-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74075 EL PASEO STE A2A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604118",
            "telephone_number": "650-308-4188",
            "fax_number": "760-568-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLIN",
        "first_name": "KARA",
        "middle_name": "LUDMILLA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.