Active NPI
Krystina Mae Maniu, MS
- Counselor
- Palm Desert, CA
National Provider Identifier
1336679760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 23946
- Practice address
- 77564 Country Club Dr # A201
Palm Desert, CA 92211-0484 - Phone
- (760) 702-0095
- NPI assigned
- Jun 18, 2017
- Last updated
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 23946 | CA | Primary |
Addresses
Primary practice location
77564 Country Club Dr # A201
Palm Desert, CA 92211-0484
Mailing address
PO Box 34
Yucaipa, CA 92399-0034
Phone (909) 936-2424
Other practice location 1
9890 County Farm Rd
Riverside, CA 92503-3678
Phone (951) 509-2499
Other practice location 2
601 W County Line Rd Ste E
Calimesa, CA 92320-1101
Phone (760) 702-0095
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Hesperia, CA
- NPI 1215373055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1336679760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923990034",
"telephone_number": "909-936-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77564 COUNTRY CLUB DR # A201",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922110484",
"telephone_number": "760-702-0095"
}
],
"practiceLocations": [
{
"address_1": "9890 County Farm Rd",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925033678",
"country_code": "US",
"telephone_number": "951-509-2499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W County Line Rd Ste E",
"address_purpose": "LOCATION",
"city": "Calimesa",
"state": "CA",
"postal_code": "923201101",
"country_code": "US",
"telephone_number": "760-702-0095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANIU",
"first_name": "KRYSTINA",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "23946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
- Maisy Ibrahim Dental Corporation (Desert Dental Spa)
- Majestic Care Solutions LLC
- Joy A Majors
- Kaitlyn Kai-Yee Mak
- Hannah Morin Maldonado
- Manor Care of Palm Desert Ca LLC (ManorCare Health Services)
- Manzoor Kazi Medical Associates Inc (Palm Desert Urgent Care)
- Mapzak, LLC
- Mapzak, LLC
- Maria Elizabeth Maqueda Cervantes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.