Individual provider Active NPI

Kristina Hibshman Berger, LPCC, LMFT

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1114660305
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
144595 Issued in CA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
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

LicenseStateTypeSpecialty
4571061IDMDMental Health Counselor
14254073-6004UTMDMental Health Counselor
94028227CAMDPsychologist
17217CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Berger Family Therapy, Professional Corporation Professional CurrentSince Jun 2, 2024 Accepting new patients
Central Coast Psychological Services Corporation PastSince Apr 1, 2022 Accepting new patients

Locations

1428 Phillips Ln
Ste 202
Sn Luis Obisp, CA 93401
Phone (805) 441-2954

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.