Individual provider Active NPI

Carole Ann Kries, L.M.F.T.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1790016251
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC32624 Issued in CA
Practice address
2725 Congress St
Suite 2C
San Diego, CA 92110-2757
Phone
(619) 977-3439
Fax
(619) 688-1098
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC32624 CA Primary

Addresses

Primary practice location

2725 Congress St
Suite 2C
San Diego, CA 92110-2757

Mailing address

2725 Congress St
Suite 2C
San Diego, CA 92110-2757
Phone (619) 977-3439

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

LicenseStateTypeSpecialty
MFC32624CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Counseling Inc PastSince Aug 30, 2017 Accepting new patients
Cifc Inc. PastSince May 24, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1790016251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 CONGRESS ST",
            "address_2": "SUITE 2C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102757",
            "telephone_number": "619-977-3439",
            "fax_number": "619-688-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CONGRESS ST",
            "address_2": "SUITE 2C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102757",
            "telephone_number": "619-977-3439",
            "fax_number": "619-688-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIES",
        "first_name": "CAROLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC32624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.