Individual provider Active NPI

Petrea Kristine Huynh, MFTI, LPCCI

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1790193555
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT134147 Issued in CA
Practice address
4025 Camino del Rio S
Suite 250
San Diego, CA 92108-4107
Phone
(760) 689-9644
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PCCI2555 CA
Marriage & Family Therapist 106H00000X LMFT134147 CA Primary

Addresses

Primary practice location

4025 Camino del Rio S
Suite 250
San Diego, CA 92108-4107

Mailing address

1345 Encinitas Blvd # 515
Encinitas, CA 92024-2845
Phone (760) 689-9644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015004545 CA Practitioner - Marriage and Family Therapist 2961999644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Enriching Relationships IncGroup PAC ID 0143506667, 10 clinicians

Practice addresses (Care Compare)

4025 Camino del Rio S
Suite 250
San Diego, CA 92108-4100
Phone (619) 858-3105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCCI2555CAMDCounselor
LMFT134147CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Enriching Relationships, Inc Marriage & Family Therapist CurrentSince Oct 1, 2025 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Dec 23, 2025 Accepting new patients

Locations

4025 Camino del Rio S
Ste 250
San Diego, CA 92108
Phone (619) 280-3430

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1790193555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 ENCINITAS BLVD # 515",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242845",
            "telephone_number": "760-689-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S",
            "address_2": "SUITE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084107",
            "telephone_number": "760-689-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "PETREA",
        "middle_name": "KRISTINE",
        "credential": "MFTI, LPCCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "PCCI2555",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT134147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.