Individual provider Active NPI

Kristine Erin Ives, LPC, LMFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1144571258
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT89586 Issued in CA
Practice address
1243 7TH St
Suite C
Santa Monica, CA 90401-1600
Phone
(303) 909-3427
NPI assigned
Sep 28, 2012
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0006149 CO
Marriage & Family Therapist 106H00000X LMFT89586 CA Primary

Addresses

Primary practice location

1243 7TH St
Suite C
Santa Monica, CA 90401-1600

Mailing address

1243 7TH St
Unit C
Santa Monica, CA 90401-1600
Phone (303) 909-3427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 6, 2024 through Oct 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0006149COMDMental Health Counselor
LMFT89586CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Counseling Marriage & Family Therapist PastSince Apr 10, 2022 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, 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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1144571258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 7TH ST",
            "address_2": "UNIT C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011600",
            "telephone_number": "303-909-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 7TH ST",
            "address_2": "SUITE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011600",
            "telephone_number": "303-909-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVES",
        "first_name": "KRISTINE",
        "middle_name": "ERIN",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0006149",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT89586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.