Kristian W Brenes, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

108617 Issued in CA

Practice address

16209 Kamana Rd Ste 105
Apple Valley, CA 92307-1394

Phone

(760) 515-7979

NPI assigned

Jun 17, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• San Bernardino County Superintendent of Schools

  • Community/Behavioral Health Agency
  • Apple Valley, CA
  • NPI 1518091966
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1679912240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16209 KAMANA RD STE 105",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071394",
            "telephone_number": "760-515-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16209 KAMANA RD STE 105",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071394",
            "telephone_number": "760-515-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENES",
        "first_name": "KRISTIAN",
        "middle_name": "W",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Renee Brasher, MA, INTERN MFT
• Evelyn Brashers, CMT
• Jaimee Renee Bravo, PTA
• Cindy Ellen Bray
• Breeze Medical Group PC
• Monique Brewah
• Brian Carlson MFT
• Kashmona U Bridget
• Bright Path Tutoring LLC
• Cherish Anne Bright

• Marriage & Family Therapist in Apple Valley, CA
• Providers in Apple Valley, 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 4, 2023; 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.