Individual provider Active NPI

Kristen Haldeman, MFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1154019073
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138832 Issued in CA
Practice address
6800 Indiana Ave Ste 260
Riverside, CA 92506-4287
Phone
(951) 782-0040
Fax
(951) 782-2010
NPI assigned
Apr 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 138832 CA
Marriage & Family Therapist 106H00000X 138832 CA Primary

Addresses

Primary practice location

6800 Indiana Ave Ste 260
Riverside, CA 92506-4287

Mailing address

6800 Indiana Ave Ste 260
Riverside, CA 92506-4287
Phone (951) 782-0040

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

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1154019073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 INDIANA AVE STE 260",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064287",
            "telephone_number": "951-782-0040",
            "fax_number": "951-782-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 INDIANA AVE STE 260",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064287",
            "telephone_number": "951-782-0040",
            "fax_number": "951-782-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDEMAN",
        "first_name": "KRISTEN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "138832",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.