Raquel Tamar Kislinger, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT83601 Issued in CA

Practice address

95 North Marengo Avenue, Suite 100
Institute for Girls' Development
Pasadena, CA 91101

Phone

(626) 585-8075

Fax

(626) 585-0440

NPI assigned

May 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1447696901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 NORTH MARENGO AVENUE, SUITE 100",
            "address_2": "INSTITUTE FOR GIRLS' DEVELOPMENT",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-585-8075",
            "fax_number": "626-585-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NORTH MARENGO AVENUE, SUITE 100",
            "address_2": "INSTITUTE FOR GIRLS' DEVELOPMENT",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-585-8075",
            "fax_number": "626-585-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISLINGER",
        "first_name": "RAQUEL",
        "middle_name": "TAMAR",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT83601",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTI 64036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roza Kirpichyan, CAARR
• Alexandra Kirtchik, NP
• Kayla Kisan
• Ryan Katsumi Kishimoto, PT, DPT
• Lyudmila Kisina, LMFT, LAADC
• Christine Kitahara
• Lisa Marie Kitzler
• Gabrielle Sofia Yaffe Klatsky
• Lori Kleban
• Karim Camille Kleckley

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.