Crystal Molina, MFT, APCC
Individual provider Active NPI Marriage & Family Therapist · Mojave, CA
NPI 1689290140 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1689290140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 140516 (CA)
- Practice address
- 16940 Highway 14 Ste F
Mojave, CA 93501-1238 - Phone
- (661) 824-5020
- NPI assigned
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250512002074 | CA | Practitioner - Marriage and Family Therapist | 1153848288 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Health & Wellness Center, LLC | Current |
Accepting new patients | |
| Calm Waters Counseling, LLC | Current |
Accepting new patients | |
| Pacific Coast Psychiatric Associates Inc | Past | Accepting new patients |
Locations
330 Oxford St
Ste 208A
Chula Vista, CA 91911
Phone (510) 776-3984
330 Oxford St
Ste 208B
Chula Vista, CA 91911
Phone (760) 278-3112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 140516 | CA | Yes |
Addresses
Primary practice location
16940 Highway 14 Ste F
Mojave, CA 93501-1238
Mailing address
PO Box 4795
Culver City, CA 90231-4795
Phone (657) 549-2702
Other providers in Mojave, CA
- Crystonae Dymond McFarland
- Elsie Michelle Miller
- David Mobley
- Mojave Pharmacy Inc
- Mojave Unified School District
- Angela Montoya
- Gradi Moore
- Barbara Jo Sena Munoz
- Crystal Patrese Nichols
- Karina Nilsson
All providers in Mojave, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.