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KRISTEN NICOLE KETTERMAN MA, AMFT
NPI 1083283238
Marriage & Family Therapist in Arcata, CA

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2023, Nov 11, 2022, Aug 10, 2022 and 1 more (4 updates tracked since 2021).

About Kristen Nicole Ketterman Ma, Amft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN NICOLE KETTERMAN MA, AMFT (NPI 1083283238) is an individual marriage & family therapist in Arcata, California, licensed in California (134157) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083283238
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKRISTEN NICOLE KETTERMANCredential: MA, AMFT
Location Address1369 G STArcata, CA 95521-5820
Mailing Address1369 G StArcata, CA 95521-5820 · (707) 633-3939
Phone(707) 633-3939
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2021
Last NPPES UpdateJune 28, 20234 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1083283238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 134157
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1369 G ST, Arcata, CA 95521
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11802 California StEureka, CA 95501-2808 · Phone (707) 443-7358
Location 2123 F St Ste FEureka, CA 95501-1048 · Phone (707) 633-3939

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Nicole Ketterman Ma, Amft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608341185
PECOS Enrollment IDI20260413001457
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kristen Ketterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Humboldt Counseling Connection
6.5 mi
Mental Health (Including Community Mental Health Center)
310 F ST
Eureka, CA 95501
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1710768411 (707) 390-0393

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN ALLYN BENNETT D.D.S.
Dentist
1369 G ST
ARCATA, CA 95521
Humboldt County (707) 822-6100
DR. JOHNATHAN J CHOI D.D.S.
Dentist (General Practice)
1369 G ST
ARCATA, CA 95521
Humboldt County (702) 406-1122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Ketterman's NPI number?

The NPI number for Kristen Ketterman is 1083283238. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Kristen Ketterman located?

Kristen Ketterman practices at 1369 G St, Arcata, CA 95521. The listed phone number is (707) 633-3939.

What is Kristen Ketterman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kristen Ketterman enrolled in Medicare?

Yes. Kristen Ketterman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kristen Ketterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Ketterman reassigns Medicare benefits to Humboldt Counseling Connection (Eureka, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristen Ketterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristen Ketterman was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.