Active NPI
Krystal Zielen, LMFT
- Marriage & Family Therapist
- San Bernardino, CA
National Provider Identifier
1154770519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 136765
- Practice address
- 600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148 - Phone
- (909) 522-4656
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 101532 | CA | |
| Marriage & Family Therapist | 106H00000X | 136765 | CA | Primary |
Addresses
Primary practice location
600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148
Mailing address
600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148
Phone (909) 522-4656
Other practice location 1
1053 N D St
San Bernardino, CA 92410-3521
Phone (909) 522-4656
Other practice location 2
1330 W Ramsey St
#B
Banning, CA 92220-4477
Phone (951) 849-7142
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Krystal.Zielen@victor.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101532 | CA | MD | Marriage & Family Therapist |
| 136765 | CA | MD | Marriage & Family Therapist |
Interoperability endpoints
- krystal.zielen@victor.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1154770519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N ARROWHEAD AVE STE 300",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011148",
"telephone_number": "909-522-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N ARROWHEAD AVE STE 300",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011148",
"telephone_number": "909-522-4656"
}
],
"practiceLocations": [
{
"address_1": "1053 N D St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924103521",
"country_code": "US",
"telephone_number": "909-522-4656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1330 W Ramsey St",
"address_2": "#B",
"address_purpose": "LOCATION",
"city": "Banning",
"state": "CA",
"postal_code": "922204477",
"country_code": "US",
"telephone_number": "951-849-7142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIELEN",
"first_name": "KRYSTAL",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "101532",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "136765",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Krystal.Zielen@victor.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "600 N Arrowhead Ave Ste 300",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924011148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.