Individual provider Active NPI

Ilene Krems, MFT

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1477744860
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34516 Issued in CA
Practice address
7212 Raintree Cir
Culver City, CA 90230-4455
Phone
(310) 287-1466
Fax
(310) 287-4721
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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 MFC34516 CA Primary

Addresses

Primary practice location

7212 Raintree Cir
Culver City, CA 90230-4455

Mailing address

7212 Raintree Cir
Culver City, CA 90230-4455
Phone (310) 287-1466

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

State licenses

LicenseStateTypeSpecialty
MFC34516CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1477744860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 RAINTREE CIR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304455",
            "telephone_number": "310-287-1466",
            "fax_number": "310-287-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 RAINTREE CIR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304455",
            "telephone_number": "310-287-1466",
            "fax_number": "310-287-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMS",
        "first_name": "ILENE",
        "name_prefix": "Dr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.