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KHARA FUENTES
NPI 1871774083
Marriage & Family Therapist in Phoenix, AZ

Active since November 15, 2007Opted out of Medicare · through Jan 1, 2028
15825 S 46TH ST STE 122, PHOENIX, AZ 85048(602) 741-3388 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Khara Fuentes NPPES

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

KHARA FUENTES (NPI 1871774083) is an individual marriage & family therapist in Phoenix, Arizona and active in the NPI registry since November 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1871774083
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKHARA FUENTES
Location Address15825 S 46TH ST STE 122Phoenix, AZ 85048-0045
Mailing Address15825 S 46th St Ste 122Phoenix, AZ 85048-0045 · (602) 741-3388
Phone(602) 741-3388
Sole ProprietorNo
Enumeration DateNovember 15, 2007
Last NPPES UpdateApril 25, 2018
✔ NPI 1871774083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.

15825 S 46TH ST STE 122, Phoenix, AZ 85048
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Khara Fuentes 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Khara Fuentes's NPI number?

The NPI number for Khara Fuentes is 1871774083. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Khara Fuentes located?

Khara Fuentes practices at 15825 S 46th St Ste 122, Phoenix, AZ 85048. The listed phone number is (602) 741-3388.

What is Khara Fuentes's specialty?

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

Is Khara Fuentes enrolled in Medicare?

No. Khara Fuentes has opted out of Medicare through January 1, 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 Khara Fuentes was last updated on April 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.