Kristin Gordiejew, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT87380 Issued in CA

Practice address

2455 Bennett Valley Road
B201
Santa Rosa, CA 95404

Phone

(707) 520-4357

NPI assigned

May 21, 2012

Sex

Female

Sole proprietor

No

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

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.

• Intune Family Counseling, Inc.

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1861865875
  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750641940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 SONOMA MOUNTAIN RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954048880",
            "telephone_number": "707-696-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY ROAD",
            "address_2": "B201",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-520-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Sacramento St # 2F",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941082535",
            "country_code": "US",
            "telephone_number": "415-392-4453 x32",
            "fax_number": "415-433-0953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDIEJEW",
        "first_name": "KRISTIN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT87380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Goodwin
• Christina Marie Goodwin, M.D.
• Gala Patrice Goodwin, LCSW
• Aaron Gootzeit, DC
• Kimberly Ruth Gordacan, D.C.
• Stephen Gordinier
• Amanda Kate Gordon
• Eric David Gordon, M.D.
• Lily Katherine Gordon
• Megan Gordon

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, 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 Mar 17, 2018; 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.