Active NPI
Kathryn Denine Krug, LMFT
- Marriage & Family Therapist
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 110356
- Practice address
- 5360 Jackson Dr # 220C
La Mesa, CA 91942-6002 - Phone
- (619) 353-0818
- Fax
- (619) 333-4525
- NPI assigned
- Apr 3, 2020
- Last updated
- Sep 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 110356 | CA | Primary |
Addresses
Primary practice location
5360 Jackson Dr # 220C
La Mesa, CA 91942-6002
Mailing address
PO Box 711742
Santee, CA 92072-1742
Phone (858) 342-0501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36350 Church Rd
Campo, CA 91906-2715
Phone (619) 445-1188
4058 Willows Rd
Alpine, CA 91901-1668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110356 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krug and Park Family Counseling PC | Marriage & Family Therapist | Current | Accepting new patients |
| Southern Indian Health Council | Current | Accepting new patients | |
| Southern Indian Health Council | Current | Accepting new patients | |
| Southern Indian Health Council | Past | Accepting new patients | |
| Southern Indian Health Council | Past | Accepting new patients |
Locations
4058 Willows Rd
Alpine, CA 91901
5001 Willows Rd
Ste J111
Alpine, CA 91901
36350 Church Rd
Campo, CA 91906
5360 Jackson Dr
Ste 220C
La Mesa, CA 91942
Phone (619) 353-0818
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- La Mesa, CA
- NPI 1154917235
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Boulevard, CA
- NPI 1902562416
-
- Community/Behavioral Health Agency
- Alpine, CA
- NPI 1295491736
-
- Clinic/Center
- Alpine, CA
- NPI 1346247947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1487283263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711742",
"city": "SANTEE",
"state": "CA",
"postal_code": "920721742",
"telephone_number": "858-342-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5360 JACKSON DR # 220C",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426002",
"telephone_number": "619-353-0818",
"fax_number": "619-333-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUG",
"first_name": "KATHRYN",
"middle_name": "DENINE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "110356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.