Individual provider Active NPI

Karlyn Rene Farris, BBS

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1952025876
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
105786 Issued in CA
Practice address
2034 Cotner Ave Ste 200
Los Angeles, CA 90025-5664
Phone
(818) 335-5200
Fax
(310) 889-0440
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 105786 CA Primary

Addresses

Primary practice location

2034 Cotner Ave Ste 200
Los Angeles, CA 90025-5664

Mailing address

2034 Cotner Ave Ste 200
Los Angeles, CA 90025-5664
Phone (818) 335-5200

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

LicenseStateTypeSpecialty
105786CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Family Therapy Services Inc. Mental Health CurrentSince Oct 9, 2022 Accepting new patients
Alliance Mental Health PastSince Oct 9, 2022 Accepting new patients

Locations

2034 Cotner Ave
Ste 200
Los Angeles, CA 90025
Phone (818) 335-5200

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1952025876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 COTNER AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255664",
            "telephone_number": "818-335-5200",
            "fax_number": "310-889-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 COTNER AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255664",
            "telephone_number": "818-335-5200",
            "fax_number": "310-889-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "KARLYN",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "BBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "105786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.