Kristine Gwen Wiesner, RN

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

120 E Jones St
Santa Maria, CA 93454-5101

Phone

(707) 304-0393

NPI assigned

Mar 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

Practice roles

Locations

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.

• Council on Alcoholism and Drug Abuse

  • Case Management Agency
  • Santa Maria, CA
  • NPI 1922464858
  NPD
• Council of Alcoholism and Drug Abuse

  • Case Management Agency
  • Santa Maria, CA
  • NPI 1275718330
  NPD (past)

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1184484412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 S HIGUERA ST SPC 24",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016424",
            "telephone_number": "707-304-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E JONES ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545101",
            "telephone_number": "707-304-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "KRISTINE",
        "middle_name": "GWEN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory H Whitcher, MD
• Debbie White, CDAC II-CA
• Jamie A White
• Karen White, RN, PHN
• John R. Wicks
• Richard P Wikholm, MD
• Amy Louise Wilborn, M.S.
• William R Reid OD Inc
• Aurora William
• Elyssa Shayne Williams

• Counseling Psychologist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.