Active NPI
Katharina Krison
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1053752865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120406
- Practice address
- 1051 Picador Blvd
San Diego, CA 92154-3548 - Phone
- (928) 978-2035
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19863 | AZ | |
| Clinical Social Worker | 1041C0700X | 120406 | CA | Primary |
Addresses
Primary practice location
1051 Picador Blvd
San Diego, CA 92154-3548
Mailing address
3031 Plaza Lorenzo
Bonita, CA 91902-1606
Phone (928) 978-2035
Other practice location 1
305 S Clark Rd
Payson, AZ 85541-5022
Phone (928) 978-2035
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivate Counseling PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flagstaff, AZ
- NPI 1700383411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1053752865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 PLAZA LORENZO",
"city": "BONITA",
"state": "CA",
"postal_code": "919021606",
"telephone_number": "928-978-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 PICADOR BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543548",
"telephone_number": "928-978-2035"
}
],
"practiceLocations": [
{
"address_1": "305 S Clark Rd",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415022",
"country_code": "US",
"telephone_number": "928-978-2035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRISON",
"first_name": "KATHARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "19863",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "120406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.