Active NPI
Kristina Hibshman Berger, LPCC, LMFT
- Marriage & Family Therapist
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 144595
- Practice address
- 1428 Phillips LN Ste 202
San Luis Obispo, CA 93401-2567 - Phone
- (805) 441-2954
- Fax
- (805) 457-8218
- NPI assigned
- Apr 15, 2022
- Last updated
- Sep 8, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14254073-6004 | UT | |
| Mental Health Counselor | 101YM0800X | 4571061 | ID | |
| Professional Counselor | 101YP2500X | 17217 | CA | |
| Psychologist | 103T00000X | 94028227 | CA | |
| Marriage & Family Therapist | 106H00000X | 144595 | CA | Primary |
Addresses
Primary practice location
1428 Phillips LN Ste 202
San Luis Obispo, CA 93401-2567
Mailing address
1525 Laurel LN
San Luis Obispo, CA 93401-4642
Phone (805) 441-2954
Other practice location 1
1525 Laurel Ln
San Luis Obispo, CA 93401-4642
Phone (805) 441-2954
Other practice location 2
333 Estudillo Ave Ste 201
San Leandro, CA 94577-4717
Phone (510) 221-6438
Other names 1
- Berger Psychotherapy And Consultation Services
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250519003207 | CA | Practitioner - Marriage and Family Therapist | 4981122330 | Practice locations: San Luis Obispo, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1428 Phillips LN
Suite 202
San Luis Obispo, CA 93401-2567
Phone (805) 441-2954
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4571061 | ID | MD | Mental Health Counselor |
| 14254073-6004 | UT | MD | Mental Health Counselor |
| 94028227 | CA | MD | Psychologist |
| 17217 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berger Family Therapy, Professional Corporation | Professional | Current | Accepting new patients |
| Central Coast Psychological Services Corporation | Past | Accepting new patients |
Locations
1428 Phillips Ln
Ste 202
Sn Luis Obisp, CA 93401
Phone (805) 441-2954
Interoperability endpoints
- https://api.platform.athenahealth.com/24466/brand/1/csg/1/fhir/r4
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.
-
dba Berger Psychotherapy and Consultation Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Luis Obispo, CA
- NPI 1033075924
Professional
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arroyo Grande, CA
- NPI 1821753690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1114660305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 LAUREL LN",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014642",
"telephone_number": "805-441-2954",
"fax_number": "805-457-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 PHILLIPS LN STE 202",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012567",
"telephone_number": "805-441-2954",
"fax_number": "805-457-8218"
}
],
"practiceLocations": [
{
"address_1": "1525 Laurel Ln",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934014642",
"country_code": "US",
"telephone_number": "805-441-2954",
"fax_number": "805-457-8218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Estudillo Ave Ste 201",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945774717",
"country_code": "US",
"telephone_number": "510-221-6438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGER",
"first_name": "KRISTINA",
"middle_name": "HIBSHMAN",
"name_prefix": "Dr.",
"credential": "LPCC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-15",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "14254073-6004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "4571061",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "17217",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "94028227",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "144595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERGER PSYCHOTHERAPY",
"last_name": "AND CONSULTATION SERVICES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.