Individual provider Active NPI

Christina Marie Drukala, MDIV. MA. LMFT

  • Marriage & Family Therapist
  • Kelseyville, CA
National Provider Identifier
1346545969
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
80897 Issued in CA
Practice address
9781 Point Lakeview Rd Ste 7
Kelseyville, CA 95451-8517
Phone
(707) 513-8263
NPI assigned
Jan 12, 2011
Last updated
Nov 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 80897 CA Primary

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

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
I20241218003999 CA Practitioner - Marriage and Family Therapist 3375806631 Practice locations: Kelseyville, CA

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1346545969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954510293",
            "telephone_number": "707-513-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9781 POINT LAKEVIEW RD STE 7",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954518517",
            "telephone_number": "707-513-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUKALA",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MDIV.  MA. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kelseyville, CA

Sources for this page

Verify at the official NPI Registry.