Individual provider Active NPI

Kristin Quihuis, LMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1043638067
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110779 Issued in CA
Practice address
388 S Los Robles Ave Apt 205
Pasadena, CA 91101-3842
Phone
(626) 737-4335
NPI assigned
Apr 7, 2014
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 110779 CA Primary

Addresses

Primary practice location

388 S Los Robles Ave Apt 205
Pasadena, CA 91101-3842

Mailing address

388 S Los Robles Ave Apt 205
Pasadena, CA 91101-3842
Phone (626) 737-4335

Other practice location 1

2555 E Colorado Blvd # 101
Pasadena, CA 91107-6622
Phone (909) 989-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221001614 CA Practitioner - Marriage and Family Therapist 0446694103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KLQ Therapy Services Inc Marriage & Family Therapist CurrentSince Jun 11, 2023 Accepting new patients
Institute for the Redesign of Learning Mental Health Past Accepting new patients

Locations

251 S Lake Ave
Pasadena, CA 91101

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1043638067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 S LOS ROBLES AVE APT 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013842",
            "telephone_number": "626-737-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 S LOS ROBLES AVE APT 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013842",
            "telephone_number": "626-737-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 E Colorado Blvd # 101",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911076622",
            "country_code": "US",
            "telephone_number": "909-989-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIHUIS",
        "first_name": "KRISTIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.