Clint N Kreider, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120380 Issued in CA

Practice address

2210 Pacific Ave Unit K1
Costa Mesa, CA 92627-4846

Phone

(949) 726-1111

NPI assigned

Feb 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1689329096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD STE A109",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275007",
            "telephone_number": "949-726-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 PACIFIC AVE UNIT K1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274846",
            "telephone_number": "949-726-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDER",
        "first_name": "CLINT",
        "middle_name": "N",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmail.com",
            "affiliation": "N",
            "address_1": "2210 Pacific Ave Unit K1",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926274846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Kozuki, PT
• Nicole Krakora, ND
• Kramer Family Therapy, Inc (Amber Kramer Therapy)
• Julie Kraus
• Bryan David Krause
• Kenneth A Kreindel
• Tori Rachel Kretschmer, NURSE PRACTITIONER
• Meera Krishna Kumar, MS
• Sowmya Krishnan, NP
• Kristin Green (CA Speech Therapy)

• Marriage & Family Therapist in Costa Mesa, CA
• Providers in Costa Mesa, 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 Feb 14, 2022; 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.