Krystal Moreno

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

151298 Issued in CA

Practice address

101 E Redlands Blvd Ste 215
Redlands, CA 92373-4724

Phone

(909) 793-1078

Fax

(909) 335-7330

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Change in Trajectory, Inc.

  • Behavior Analyst
  • Van Nuys, CA
  • NPI 1750646667
  NPD (past)
• Childnet Youth and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1275991465

  Case Manager/Care Coordinator

  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1114464757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 215",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734724",
            "telephone_number": "909-793-1078",
            "fax_number": "909-335-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 215",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734724",
            "telephone_number": "909-793-1078",
            "fax_number": "909-335-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Morales
• Matthew Moraton, OD
• Sade Morel, RDHAP
• Alexandra Moreland, LPCC
• Anaiza Moreno-Gonzalez
• Lisa Moreno
• Angela Morgan, RD
• Frank W Morgan, M.D.
• Stephanie Leigh Morgan, OTR/L
• Todd Morgan

• Marriage & Family Therapist in Redlands, CA
• Providers in Redlands, 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 Mar 28, 2025; 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.