Christian Makenna Clements, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

111159 Issued in CA

Practice address

370 Grand Ave Ste 4
Oakland, CA 94610-4874

Phone

(925) 553-4112

NPI assigned

Jun 30, 2017

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 13, 2024 through Jan 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Presbyterian Counseling Center

  • Community/Behavioral Health Agency
  • San Ramon, CA
  • NPI 1710049044
  NPD (past)

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1639690506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FLORA AVE APT 207",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951239",
            "telephone_number": "925-553-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE STE 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104874",
            "telephone_number": "925-553-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3180 Crow Canyon Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831339",
            "country_code": "US",
            "telephone_number": "925-820-1467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "CHRISTIAN",
        "middle_name": "MAKENNA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-08-26",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Gail Y Clemente, CAMTC
• Monina Aurora Clemente, OTR/L
• Rodney Clemente, B.S.
• Miyanna Clements-Williamson
• Amy Clements
• Alexandria S Clemmons, MD
• Velma Jean Clemons
• Clifford Ralph Melton
• Aubrey Dean Clifton Jr.
• Reina Lee Clifton

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, 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 Aug 26, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.