Individual provider Active NPI

Krystle Lynn Rowe, PHD, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1730310640
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50964 Issued in CA
Practice address
7177 Brockton Ave Ste 228
Riverside, CA 92506-2633
Phone
(909) 815-9563
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 60589 CA
Marriage & Family Therapist 106H00000X 50964 CA Primary

Addresses

Primary practice location

7177 Brockton Ave Ste 228
Riverside, CA 92506-2633

Mailing address

7177 Brockton Ave Ste 228
Riverside, CA 92506-2633
Phone (909) 815-9553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 2, 2024 through Jul 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
50964CAMDMarriage & Family Therapist
60589CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1730310640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 228",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062633",
            "telephone_number": "909-815-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 228",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062633",
            "telephone_number": "909-815-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "KRYSTLE",
        "middle_name": "LYNN",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "60589",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.