Individual provider Active NPI

Krystina Esquibel, MS, LPCC

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1306468681
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC18494 Issued in CA
Practice address
334 N 2ND St
San Jose, CA 95112-4015
Phone
(669) 250-2219
NPI assigned
May 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC18494 CA Primary
Marriage & Family Therapist 106H00000X AMFT127233 CA

Addresses

Primary practice location

334 N 2ND St
San Jose, CA 95112-4015

Mailing address

1750 Meridian Ave # 6263
San Jose, CA 95125-5545

Other names 1

  • Krystina Bertoldi Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPCC18494CAMDMental Health Counselor
AMFT127233CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
WK Medical Group Marriage & Family Therapist PastSince Aug 7, 2021 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients
LGTC Group Marriage & Family Therapist PastSince May 20, 2025 Accepting new patients

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": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1306468681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 MERIDIAN AVE # 6263",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 N 2ND ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124015",
            "telephone_number": "669-250-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIBEL",
        "first_name": "KRYSTINA",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC18494",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT127233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTINA",
            "last_name": "BERTOLDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.