Active NPI
Kristina Sobko
- Mental Health Counselor
- Van Nuys, CA
National Provider Identifier
1235254889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 51167
- Practice address
- 14640 Victory Blvd
#100
Van Nuys, CA 91411-1623 - Phone
- (818) 374-6901
- Fax
- (818) 374-6908
- NPI assigned
- Mar 20, 2007
- Last updated
- Jan 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 51167 | CA | Primary |
Addresses
Primary practice location
14640 Victory Blvd
#100
Van Nuys, CA 91411-1623
Mailing address
7445 Canby Ave
#12
Reseda, CA 91335-2952
Phone (818) 705-3896
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 |
|---|---|---|---|
| 51167 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1235254889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7445 CANBY AVE",
"address_2": "#12",
"city": "RESEDA",
"state": "CA",
"postal_code": "913352952",
"telephone_number": "818-705-3896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14640 VICTORY BLVD",
"address_2": "#100",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111623",
"telephone_number": "818-374-6901",
"fax_number": "818-374-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBKO",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "51167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.