Individual provider Active NPI

Christina Fraser, LMFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1316347388
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105553 Issued in CA
Practice address
2730 Shadelands Dr
Walnut Creek, CA 94598
Phone
(925) 551-1822
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 IMF81381 CA
Marriage & Family Therapist 106H00000X 105553 CA Primary

Addresses

Primary practice location

2730 Shadelands Dr
Walnut Creek, CA 94598

Mailing address

2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone (925) 551-1822

Other practice location 1

3330 Clayton Rd Ste E
Concord, CA 94519-2838
Phone (925) 338-0937

Other practice location 2

3727 Sunset Ln Ste 110
Antioch, CA 94509-6134
Phone (925) 778-1667 ext. 320

Other practice location 3

3330 Clayton Rd Ste E
Concord, CA 94519-2838
Phone (925) 338-0937

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
IMF81381CAMDMental Health Counselor
105553CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1316347388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "925-551-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-551-1822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Clayton Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945192838",
            "country_code": "US",
            "telephone_number": "925-338-0937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3727 Sunset Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096134",
            "country_code": "US",
            "telephone_number": "925-778-1667 x320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Clayton Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945192838",
            "country_code": "US",
            "telephone_number": "925-338-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASER",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF81381",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.