Individual provider Active NPI

Krystal Zielen, LMFT

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1154770519
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136765 Issued in CA
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

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
101532CAMDMarriage & Family Therapist
136765CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.