Individual provider Active NPI

Svetlana Kreimer, LMFT

  • Mental Health Counselor
  • Menlo Park, CA
National Provider Identifier
1790981850
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3705 Haven Ave
Suite 105
Menlo Park, CA 94025-1011
Phone
(650) 619-1857
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3705 Haven Ave
Suite 105
Menlo Park, CA 94025-1011

Mailing address

3705 Haven Ave
Suite 105
Menlo Park, CA 94025-1011
Phone (650) 619-1857

Other identifiers 1

IdentifierTypeStateIssuer
MFC 53525OtherCABBS

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1790981850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 HAVEN AVE",
            "address_2": "SUITE 105",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251011",
            "telephone_number": "650-619-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 HAVEN AVE",
            "address_2": "SUITE 105",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251011",
            "telephone_number": "650-619-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIMER",
        "first_name": "SVETLANA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "MFC 53525",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.