Active NPI
Krissie Le-Hermida
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- LCS15235
- Legal business name
- KRISSIE LE-HERMIDA
- Practice address
- 625 3Rd Ave
Chula Vista, CA 91910-5703 - Phone
- (619) 960-9645
- Fax
- (619) 476-7566
- NPI assigned
- Sep 19, 2007
- Last updated
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krissie P Le-Hermida, LCSW
- Title
- Owner
- Phone
- (619) 960-9645
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LCS15235 | CA | Primary |
Addresses
Primary practice location
625 3Rd Ave
Chula Vista, CA 91910-5703
Mailing address
625 3Rd Ave
Chula Vista, CA 91910-5703
Phone (619) 960-9645
National Provider Directory
National Provider DirectoryLocations
625 Third Ave
Chula Vista, CA 91910
Phone (619) 421-8212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Chula Vista, CA
- NPI 1336195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1245426782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105703",
"telephone_number": "619-960-9645",
"fax_number": "619-476-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105703",
"telephone_number": "619-960-9645",
"fax_number": "619-476-7566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISSIE LE-HERMIDA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "LE-HERMIDA",
"authorized_official_first_name": "KRISSIE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-960-9645",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "CA",
"license": "LCS15235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.