Individual provider Active NPI

Erika Christenson Kosterlitzky, LMFT

  • Marriage & Family Therapist
  • Glendora, CA
National Provider Identifier
1053121855
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146706 Issued in CA
Practice address
750 W Heber St
Glendora, CA 91741-3220
Phone
(626) 422-1339
NPI assigned
Jan 13, 2025
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 146706 CA Primary

Addresses

Primary practice location

750 W Heber St
Glendora, CA 91741-3220

Mailing address

750 W Heber St
Glendora, CA 91741-3220
Phone (626) 422-1339

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
I20250805003055 CA Practitioner - Marriage and Family Therapist 2961910450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Harbor Counseling and Psychological ServicesGroup PAC ID 6002328176, 4 clinicians

Practice addresses (Care Compare)

150 E Meda Ave
Suite 230
Glendora, CA 91741-2624
Phone (626) 593-6306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Harbor Counseling and Psychological Services Marriage & Family Therapist CurrentSince May 13, 2025 Accepting new patients
New Harbor Counseling LLC Marriage & Family Therapist CurrentSince May 13, 2025 Accepting new patients

Locations

150 E Meda Ave
Ste 230
Glendora, CA 91741
Phone (626) 593-6306

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1053121855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HEBER ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413220",
            "telephone_number": "626-422-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HEBER ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413220",
            "telephone_number": "626-422-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTERLITZKY",
        "first_name": "ERIKA",
        "middle_name": "CHRISTENSON",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.