KATHRYN HUMPHREY
NPI 1407201577
Counselor - Mental Health in Santa Clara, CA

Active since April 26, 2016Opted out of Medicare · through Jan 2, 2028
3490 THE ALAMEDA, SANTA CLARA, CA 95050(408) 243-0222 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Humphrey NPPES

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

KATHRYN HUMPHREY (NPI 1407201577) is an individual mental health provider in Santa Clara, California and active in the NPI registry since April 2016. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1407201577
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN HUMPHREY
Location Address3490 THE ALAMEDASanta Clara, CA 95050-4333
Mailing Address3490 The AlamedaSanta Clara, CA 95050-4333 · (408) 243-0222
Sole ProprietorNo
Enumeration DateApril 26, 2016
NPI 1407201577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3490 THE ALAMEDA, Santa Clara, CA 95050

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kathryn Humphrey has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Counselor (Mental Health)
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050
Counselor
3490 THE ALAMEDA
SANTA CLARA, CA 95050

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 Kathryn Humphrey's NPI number?

The NPI number for Kathryn Humphrey is 1407201577. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Kathryn Humphrey located?

Kathryn Humphrey practices at 3490 The Alameda, Santa Clara, CA 95050. The listed phone number is (408) 243-0222.

What is Kathryn Humphrey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathryn Humphrey enrolled in Medicare?

No. Kathryn Humphrey has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathryn Humphrey was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.