Active NPI
Krista Beth Driver, PSY.D
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1184740631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 40937
- Practice address
- 1845 W Orangewood Ave Ste 300
Orange, CA 92868-2053 - Phone
- (714) 588-1416
- Fax
- (714) 628-9671
- NPI assigned
- Mar 22, 2007
- Last updated
- Feb 7, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO559105 | CA | |
| Marriage & Family Therapist | 106H00000X | 40937 | CA | Primary |
Addresses
Primary practice location
1845 W Orangewood Ave Ste 300
Orange, CA 92868-2053
Mailing address
1845 W Orangewood Ave Ste 300
Orange, CA 92868-2053
Phone (714) 547-6494
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 |
|---|---|---|---|
| CO559105 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 40937 | CA | MD | Marriage & Family Therapist |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ADAS Mariposa Women's Center CalWORKs Orange
- Case Management Agency
- Orange, CA
- NPI 1245535293
-
dba ADAS Mariposa Women's Center CalWorks San Juan Capistrano
- Community/Behavioral Health Agency
- San Juan Capistrano, CA
- NPI 1831448166
-
- Community/Behavioral Health Agency
- Orange, CA
- NPI 1427424357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1184740631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 W ORANGEWOOD AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682053",
"telephone_number": "714-547-6494",
"fax_number": "714-547-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 W ORANGEWOOD AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682053",
"telephone_number": "714-588-1416",
"fax_number": "714-628-9671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIVER",
"first_name": "KRISTA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CO559105",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "40937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.