Individual provider Active NPI

River Krimmer, LMFT

  • Marriage & Family Therapist
  • Capitola, CA
National Provider Identifier
1548560329
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
108756 Issued in CA
Practice address
425 Capitola Ave Ste 1
Capitola, CA 95010-3363
Phone
(831) 247-3984
NPI assigned
Oct 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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 108756 CA Primary

Addresses

Primary practice location

425 Capitola Ave Ste 1
Capitola, CA 95010-3363

Mailing address

PO Box 362
Soquel, CA 95073-0362
Phone (831) 247-3984

Other practice location 1

6001 Butler Ln
Suite 206
Scotts Valley, CA 95066-3543
Phone (831) 247-3984

Other names 1

  • Jorden Krimmer Former name

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
108756CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Living Evolution: an Outdoor Experiential Learning Program Inc. Past Accepting new patients

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1548560329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950730362",
            "telephone_number": "831-247-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CAPITOLA AVE STE 1",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103363",
            "telephone_number": "831-247-3984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Butler Ln",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Scotts Valley",
            "state": "CA",
            "postal_code": "950663543",
            "country_code": "US",
            "telephone_number": "831-247-3984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIMMER",
        "first_name": "RIVER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDEN",
            "last_name": "KRIMMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.