Individual provider Active NPI

Amber Elizabeth Kreitlow, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1669080925
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138749 Issued in CA
Practice address
4909 Murphy Canyon Rd Ste 300
San Diego, CA 92123-4301
Phone
(619) 715-0522
Fax
(858) 268-9810
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 138749 CA Primary

Addresses

Primary practice location

4909 Murphy Canyon Rd Ste 300
San Diego, CA 92123-4301

Mailing address

4505 Grand Ave S
Minneapolis, MN 55419-4947
Phone (619) 715-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1669080925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 GRAND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554194947",
            "telephone_number": "619-715-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 MURPHY CANYON RD STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234301",
            "telephone_number": "619-715-0522",
            "fax_number": "858-268-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITLOW",
        "first_name": "AMBER",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.