Kristin Blaney, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT #80286 Issued in CA

Practice address

161 Avenida Cabrillo
San Clemente, CA 92672-4040

Phone

(949) 633-6516

NPI assigned

Jan 29, 2016

Last updated

Jan 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristin Blaney, Individual & Family Therapy, Inc.

  • Mental Health Counselor
  • San Clemente, CA
  • NPI 1609433101
  NPD Authorized official
• Kristin Blaney, Individual & Family Therapy, Inc.

  • Mental Health Counselor
  • San Clemente, CA
  • NPI 1902594773
  NPD Authorized official

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1285092791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 VISTA DE OLMO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737114",
            "telephone_number": "949-633-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 AVENIDA CABRILLO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724040",
            "telephone_number": "949-633-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "KRISTIN",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT #80286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Billy, RDHAP
• Kristin Bjorkman, M.S. CCC-SLP
• Theresa Black, MA
• Timothy Black, PHARMD
• Ilene M. Blaisch, MSW, LSCW
• Jack Holland Boatman, DDS
• Destiny Lee Bochinski, P.T., D.P.T.
• Tera Lynn Bodo, RN
• Body Mind Spirit Iop Inc
• Shauna Lynn Bogert, M.A.

• Marriage & Family Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.