Kaitlin Irene Wiechert

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

103427 Issued in CA

Practice address

473 East Carnegie Dr
Suite 200
San Bernardino, CA 92408

Phone

(949) 385-2544

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalie Denisse Chavez Gonzalez, LMFT

  • Marriage & Family Therapist
  • San Bernardino, CA
  • NPI 1619327384
  Medicare reassignment
• Anthonie Ontreay Etienne, LMFT

  • Marriage & Family Therapist
  • Puyallup, WA
  • NPI 1023428117

  CA

  Medicare reassignment

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.

• County of San Bernardino

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Bernardino, CA
  • NPI 1164467023
  Medicare reassignment NPD
• Your Love Story Expert

  • Marriage & Family Therapist
  • San Bernardino, CA
  • NPI 1558090647
  NPD Authorized official
• County of San Bernardino

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, CA
  • NPI 1346950904
  NPD
• County of San Bernardino

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Victorville, CA
  • NPI 1699984997
  NPD
• Healing Waters Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • Apple Valley, CA
  • NPI 1083594451
  NPD

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1669808028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15160 CHEYENNE RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073320",
            "telephone_number": "760-985-4308",
            "fax_number": "760-256-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 EAST CARNEGIE DR",
            "address_2": "SUITE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "949-385-2544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12625 Hesperia Rd",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923957720",
            "country_code": "US",
            "telephone_number": "760-995-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 E Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113234",
            "country_code": "US",
            "telephone_number": "760-255-5700",
            "fax_number": "760-256-5092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 E 3rd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900131630",
            "country_code": "US",
            "telephone_number": "213-620-5712",
            "fax_number": "213-621-4155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 E Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "92311",
            "country_code": "US",
            "telephone_number": "760-255-5700",
            "fax_number": "760-256-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIECHERT",
        "first_name": "KAITLIN",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1891385258",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Young Family Health Clinic
• Amada Sukumu Whitson, MSW, ASW
• Ashlyn Whittaker
• Daron Lamar Whitworth
• Ricardo Whyte, M.D.
• Wilbur a. Pulido
• Tanesha NA Qua Wilcots
• Tania D Wilcox
• Courtney Ann Wild
• Wildwood Dental Group

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, 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 May 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.