Individual provider Active NPI

Karissa Lentz, PSYD, LMFT

  • Clinical Psychologist
  • Norco, CA
National Provider Identifier
1184158982
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34905 Issued in CA
Practice address
2260 Vista Ridge Cir
Norco, CA 92860-1184
Phone
(619) 685-9769
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 86987 CA
Clinical Psychologist 103TC0700X 34905 CA Primary

Addresses

Primary practice location

2260 Vista Ridge Cir
Norco, CA 92860-1184

Mailing address

2260 Vista Ridge Cir
Norco, CA 92860-1184
Phone (619) 685-9769

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
I20240430000014 CA Practitioner - Marriage and Family Therapist 0547600298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34905CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lentz Therapy Apc CurrentSince Apr 14, 2024 Accepting new patients
Headway California Behavioral Health Services, P.C. CurrentSince Jan 28, 2024 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Oct 9, 2025 Accepting new patients
Mental Health Specialty Group PA PastSince Mar 1, 2021 Accepting new patients

Locations

680 E Colorado Blvd
Ste 180
Pasadena, CA 91101
Phone (213) 557-2286

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

205 Hudson St
Fl 9
New York, NY 10013
Phone (631) 488-0609

114 5th Ave
Fl 2
New York, NY 10011
Phone (347) 871-3447

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1184158982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 VISTA RIDGE CIR",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601184",
            "telephone_number": "619-685-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 VISTA RIDGE CIR",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601184",
            "telephone_number": "619-685-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "KARISSA",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86987",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

Verify at the official NPI Registry.