Kristian Rose Tenove, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100278 Issued in CA

Practice address

7850 Vista Hill Ave
San Diego, CA 92123-2717

Phone

(858) 836-8544

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristian Rose Rockefeller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1679242168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14069 HERMOSILLO WAY",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643931",
            "telephone_number": "949-735-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VISTA HILL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232717",
            "telephone_number": "858-836-8544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16935 W Bernardo Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921271664",
            "country_code": "US",
            "telephone_number": "949-735-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENOVE",
        "first_name": "KRISTIAN",
        "middle_name": "ROSE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIAN",
            "last_name": "ROCKEFELLER",
            "middle_name": "ROSE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gloria J Tengonciang, D.M.D
• Sofie Isabella Tennis
• Anna Tennison
• Shawn Tenny
• Alexander Tenorio
• Camille Tenyenhuis
• Arthur Ray Teodosio Jr., RW2447
• Craig Teofilo, PSY.D.
• Betty Tepozano, AMFT
• Arthur Arka Ter-Zakarian, MD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Dec 6, 2021; 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.