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

Q: 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.

Q: What is Kristen Ketterman's specialty?

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

Q: 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.

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment

1369 G ST, ARCATA, CA 95521(707) 633-3939 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.