Individual provider Active NPI

Kristen I Garubba, MFT

  • Marriage & Family Therapist
  • La Habra, CA
National Provider Identifier
1245517028
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
62196 Issued in CA
Practice address
1171 Cheri Dr
La Habra, CA 90631-2601
Phone
(562) 245-7282
Fax
(562) 697-8274
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 62196 CA Primary

Addresses

Primary practice location

1171 Cheri Dr
La Habra, CA 90631-2601

Mailing address

1171 Cheri Dr
La Habra, CA 90631-2601
Phone (562) 245-7282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 18, 2025 through Jun 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62196CAMDMarriage & Family Therapist
84797CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hanai Center for Counseling and Wellness CurrentSince Aug 29, 2021 Accepting new patients
Telecare Orange County Crisis Past Accepting new patients
Telecare Corporation Past Accepting new patients

Locations

31371 Rancho Viejo Rd
Ste 203
San Juan Capistrano, CA 92675
Phone (949) 294-0356

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1245517028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 CHERI DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312601",
            "telephone_number": "562-245-7282",
            "fax_number": "562-697-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 CHERI DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312601",
            "telephone_number": "562-245-7282",
            "fax_number": "562-697-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARUBBA",
        "first_name": "KRISTEN",
        "middle_name": "I",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "62196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.