Heather Kretschmar

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118793 Issued in CA

Practice address

3137 N Quince Ave
Rialto, CA 92377-3988

Phone

(626) 650-9792

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Heather Kenny Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1487007399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 N QUINCE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773988",
            "telephone_number": "626-650-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 N QUINCE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773988",
            "telephone_number": "626-650-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETSCHMAR",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "4336",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101856",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KENNY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Kleppe, LCSW
• Alyssa Taylor Knight
• Kobil Medical Supplies
• Marcelle E. Kobrossi
• Michelle Eileen Koperski
• Henry Sang Kwon, D.D.S.
• Angelina L Ladue, D.D.S.
• Christina Lambaren
• Lamppost Resource Group, Inc
• Sierra Michelle Landin Murillo

• Marriage & Family Therapist in Rialto, CA
• Providers in Rialto, 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 Jul 9, 2024; 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.