Individual provider Active NPI

Kristin Erlec, LMFT

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1053915447
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123134 Issued in CA
Practice address
720 Sunrise Ave Ste 212D
Roseville, CA 95661-4514
Phone
(916) 644-0604
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 123134 CA Primary

Addresses

Primary practice location

720 Sunrise Ave Ste 212D
Roseville, CA 95661-4514

Mailing address

720 Sunrise Ave Ste 115D
Roseville, CA 95661-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123134CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Erlec Marriage and Family Therapist, Inc. Marriage & Family Therapist Current Accepting new patients

Locations

720 Sunrise Ave
Ste 115D
Roseville, CA 95661
Phone (916) 270-7413

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.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1053915447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE STE 115D",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE STE 212D",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614514",
            "telephone_number": "916-644-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLEC",
        "first_name": "KRISTIN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.