Active NPI
Barbara Terry Kreedman, PH.D.
- Mental Health Counselor
- Palm Desert, CA
National Provider Identifier
1013057132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW, LCS 6133
- Practice address
- 73725 El Paseo
Suite 23-D
Palm Desert, CA 92260-4311 - Phone
- (760) 340-1114
- Fax
- (760) 328-4261
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW, LCS 6133 | CA | Primary |
Addresses
Primary practice location
73725 El Paseo
Suite 23-D
Palm Desert, CA 92260-4311
Mailing address
73725 El Paseo
Suite 23-D
Palm Desert, CA 92260-4311
Phone (760) 340-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW, LCS 6133 | CA | MD | Mental Health Counselor |
| 6133 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013057132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73725 EL PASEO",
"address_2": "SUITE 23-D",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604311",
"telephone_number": "760-340-1114",
"fax_number": "760-328-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73725 EL PASEO",
"address_2": "SUITE 23-D",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604311",
"telephone_number": "760-340-1114",
"fax_number": "760-328-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREEDMAN",
"first_name": "BARBARA",
"middle_name": "TERRY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW, LCS 6133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.