Active NPI
Karen Scheufler Conklin, M.A., MFTI
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1992946693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 59137
- Practice address
- 301 The City Dr S
2ND Floor
Orange, CA 92868-3205 - Phone
- (562) 505-0888
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 59137 | CA | Primary |
Addresses
Primary practice location
301 The City Dr S
2ND Floor
Orange, CA 92868-3205
Mailing address
301 The City Dr S
2ND Floor
Orange, CA 92868-3205
Phone (562) 505-0888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 59137 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1992946693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 THE CITY DR S",
"address_2": "2ND FLOOR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683205",
"telephone_number": "562-505-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 THE CITY DR S",
"address_2": "2ND FLOOR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683205",
"telephone_number": "562-505-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "KAREN",
"middle_name": "SCHEUFLER",
"name_prefix": "Mrs.",
"credential": "M.A., MFTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 59137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.