Christina Marie Drukala, MDIV. MA. LMFT
Individual provider Active NPI Marriage & Family Therapist · Kelseyville, CA
NPI 1346545969 · NPPES record last updated Nov 28, 2024
Key facts
- NPI
- 1346545969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 80897 (CA)
- Practice address
- 9781 Point Lakeview Rd Ste 7
Kelseyville, CA 95451-8517 - Phone
- (707) 513-8263
- NPI assigned
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9781 Point Lakeview Rd
Suite 7
Kelseyville, CA 95451-8517
Phone (707) 295-3488
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218003999 | CA | Practitioner - Marriage and Family Therapist | 3375806631 | Practice locations: Kelseyville, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80897 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 80897 | CA | Yes |
Addresses
Primary practice location
9781 Point Lakeview Rd Ste 7
Kelseyville, CA 95451-8517
Mailing address
PO Box 293
Kelseyville, CA 95451-0293
Phone (707) 513-8263
Other providers in Kelseyville, CA
- Ruby C Carlson Larson
- Carol a. Richards PSYD.
- Jennifer Chwialkowski
- Timari Cole
- Paula R Dhanda
- Paul Seymour Farley
- Growell
- James Prasert Iamsurey
- Prasong Iamsurey
- Indigenous Futures Foundation Inc.
All providers in Kelseyville, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.