Active NPI
Kristine A. Wegman, LCSW
- Mental Health Counselor
- Corona, CA
National Provider Identifier
1700099603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS23499
- Practice address
- 800 Magnolia Ave
Ste 110
Corona, CA 92879-3123 - Phone
- (951) 734-0525
- Fax
- (951) 734-0063
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS23499 | CA | Primary |
Addresses
Primary practice location
800 Magnolia Ave
Ste 110
Corona, CA 92879-3123
Mailing address
800 Magnolia Ave
Ste 110
Corona, CA 92879-3123
Phone (951) 734-0525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS23499 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Vet Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Corona, CA
- NPI 1134320740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700099603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MAGNOLIA AVE",
"address_2": "STE 110",
"city": "CORONA",
"state": "CA",
"postal_code": "928793123",
"telephone_number": "951-734-0525",
"fax_number": "951-734-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MAGNOLIA AVE",
"address_2": "STE 110",
"city": "CORONA",
"state": "CA",
"postal_code": "928793123",
"telephone_number": "951-734-0525",
"fax_number": "951-734-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGMAN",
"first_name": "KRISTINE",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS23499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.