Individual provider Active NPI

Kresta Lee Dalrymple, AMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1285395616
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT121614 Issued in CA
Practice address
491 S Marengo Ave Ofc 3
Pasadena, CA 91101-3128
Phone
(323) 683-4183
NPI assigned
Jan 7, 2022
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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 AMFT121614 CA Primary

Addresses

Primary practice location

491 S Marengo Ave Ofc 3
Pasadena, CA 91101-3128

Mailing address

16827 Bircher St
Granada Hills, CA 91344-2714
Phone (323) 683-4183

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kresta@pasadenatraumatherpy.com Direct Pasadena Trauma Therapy

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

LicenseStateTypeSpecialty
AMFT121614CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: kresta@pasadenatraumatherpy.com

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1285395616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16827 BIRCHER ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442714",
            "telephone_number": "323-683-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 S MARENGO AVE OFC 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013128",
            "telephone_number": "323-683-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALRYMPLE",
        "first_name": "KRESTA",
        "middle_name": "LEE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT121614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kresta@pasadenatraumatherpy.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "Pasadena Trauma Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "491 S Marengo Ave Ofc 3",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911013128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

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

Verify at the official NPI Registry.