Kristian Hans Kemtrup

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

123042 Issued in CA

Practice address

902 Carmel Ave Ste 5
Albany, CA 94706-2106

Phone

(415) 890-6585

NPI assigned

Sep 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Center for Human Growth

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berkeley, CA
  • NPI 1043434095
  NPD (past)
• Pacific Center for Human Growth

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1275687717
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1043611056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CARMEL AVE STE 5",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062106",
            "telephone_number": "415-890-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CARMEL AVE STE 5",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062106",
            "telephone_number": "415-890-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMTRUP",
        "first_name": "KRISTIAN",
        "middle_name": "HANS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrik Karlsson, LCSW
• Jeffrey Raymond Karon, MD
• Andrzej M Karwacki
• Nathan Kaufman, D.D.S.
• Mark Bernard Kay, DDS
• Maria Baka Kerosky, PH.D.
• Steven Mark Kessler, MFT
• Amanda Rose Kessner, LM, CPM
• Ella Kamal Khan, M.D.
• Jayeon Kim

• Marriage & Family Therapist in Albany, CA
• Providers in Albany, 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 Jan 19, 2023; 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.

Verify at the official NPI Registry.