Individual provider Active NPI

Kathryn Christensen

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1477102796
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116098 Issued in CA
Practice address
19322 Jesse LN
Riverside, CA 92508-5072
Phone
(951) 387-4040
Fax
(951) 398-3144
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 116098 CA Primary

Addresses

Primary practice location

19322 Jesse LN
Riverside, CA 92508-5072

Mailing address

600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148
Phone (909) 522-4656

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
I20250124000827 CA Practitioner - Marriage and Family Therapist 4688103344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116098CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Talk Therapy Center Marriage & Family Therapist CurrentSince Aug 28, 2025 Accepting new patients

Locations

19322 Jesse Ln
Ste 200
Riverside, CA 92508
Phone (951) 387-4040

19322 Jesse Ln
Ste 100
Riverside, CA 92508
Phone (951) 387-4040

19322 Jesse Ln
Riverside, CA 92508
Phone (951) 387-4040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1477102796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N ARROWHEAD AVE STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011148",
            "telephone_number": "909-522-4656",
            "fax_number": "909-763-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19322 JESSE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085072",
            "telephone_number": "951-387-4040",
            "fax_number": "951-398-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-05-03",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.