Individual provider Active NPI

Kristine Lucia King, LMFT

  • Marriage & Family Therapist
  • Reseda, CA
National Provider Identifier
1639531247
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120585 Issued in CA
Practice address
18050 Vanowen St
Reseda, CA 91335-5638
Phone
(818) 888-4559
Fax
(818) 888-4005
NPI assigned
Mar 23, 2016
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 120585 CA Primary

Addresses

Primary practice location

18050 Vanowen St
Reseda, CA 91335-5638

Mailing address

19329 Plummer St
Northridge, CA 91324-2137
Phone (805) 428-5135

Other practice location 1

2650 Jones Way Ste 10
Simi Valley, CA 93065-1215
Phone (805) 522-1844

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
120585CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child Development Institute CurrentSince Dec 5, 2021 Accepting new patients

Locations

18050 Vanowen St
Reseda, CA 91335
Phone (818) 888-4559

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, 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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1639531247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19329 PLUMMER ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242137",
            "telephone_number": "805-428-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18050 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355638",
            "telephone_number": "818-888-4559",
            "fax_number": "818-888-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Jones Way Ste 10",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651215",
            "country_code": "US",
            "telephone_number": "805-522-1844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KRISTINE",
        "middle_name": "LUCIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.