Individual provider Active NPI

Kristina Laura Ferguson, MA, LMFT

  • Marriage & Family Therapist
  • Monterey, CA
National Provider Identifier
1306128426
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91056 Issued in CA
Practice address
140 W Franklin St Ste 203
Monterey, CA 93940-2725
Phone
(619) 587-3840
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 91056 CA Primary

Addresses

Primary practice location

140 W Franklin St Ste 203
Monterey, CA 93940-2725

Mailing address

140 W Franklin St Ste 203
Monterey, CA 93940-2725
Phone (619) 587-3840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205003249 CA Practitioner - Mental Health Counselor 9335582568 Practice locations: Monterey, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
91056CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uneclipsed Counseling, Marriage and Family Therapy, Inc. Marriage & Family Therapist Current Accepting new patients
Wellspring Psychological Services, Inc. PastSince Jan 13, 2018 Accepting new patients

Locations

140 W Franklin St
Ste 203
Monterey, CA 93940
Phone (619) 587-3840

Organizations & group practices 2

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1306128426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W FRANKLIN ST STE 203",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402725",
            "telephone_number": "619-587-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W FRANKLIN ST STE 203",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402725",
            "telephone_number": "619-587-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KRISTINA",
        "middle_name": "LAURA",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.