Individual provider Active NPI

Keina Linebarger, LMFT 94844

  • Marriage & Family Therapist
  • Tahoe Vista, CA
National Provider Identifier
1528208907
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT94844 Issued in CA
Practice address
7005 N Lake Blvd # 166
Tahoe Vista, CA 96148-9800
Phone
(619) 540-4111
NPI assigned
Feb 25, 2009
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 LMFT94844 CA Primary

Addresses

Primary practice location

7005 N Lake Blvd # 166
Tahoe Vista, CA 96148-9800

Mailing address

PO Box 166
Tahoe Vista, CA 96148-0166
Phone (619) 540-4111

Other identifiers 1

IdentifierTypeStateIssuer
2351MNJKMedicaidCA

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
I20241114001425 CA Practitioner - Marriage and Family Therapist 5597299438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1341 Kings Way
Tahoe Vista, CA 96148-9811
Phone (619) 540-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT94844CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Soul Counseling Marriage & Family Therapist CurrentSince Sep 23, 2024 Accepting new patients
Silver Lining Psychology Marriage & Family Therapist PastSince Feb 1, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1528208907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "TAHOE VISTA",
            "state": "CA",
            "postal_code": "961480166",
            "telephone_number": "619-540-4111",
            "fax_number": "530-494-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N LAKE BLVD # 166",
            "city": "TAHOE VISTA",
            "state": "CA",
            "postal_code": "961489800",
            "telephone_number": "619-540-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEBARGER",
        "first_name": "KEINA",
        "credential": "LMFT 94844",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT94844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351MNJK",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahoe Vista, CA

Sources for this page

Verify at the official NPI Registry.