Kristin Angela Vasquez Green, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

88720 Issued in CA

Practice address

10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648

Phone

(858) 442-4480

Fax

(866) 561-3747

NPI assigned

Feb 23, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kristin Angela Vasquez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1033416292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311648",
            "telephone_number": "858-442-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311648",
            "telephone_number": "858-442-4480",
            "fax_number": "866-561-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3255 Wing Street",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92110",
            "country_code": "US",
            "telephone_number": "858-442-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10174 Old Grove Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311648",
            "country_code": "US",
            "telephone_number": "858-442-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KRISTIN",
        "middle_name": "ANGELA VASQUEZ",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "VASQUEZ",
            "middle_name": "ANGELA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice M Green, PH.D.
• Joseph E Green, IDC
• Kimberly Green
• Kimberly A Green, LCSW
• Kole Timothy Green
• Kristina Green, DO
• Louise B Green, PH D
• Lydia Isla Green
• Macey Green
• Makenzie Green

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.