Individual provider Active NPI

Crystal Hennah Sarbuland, M.A.

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1831552678
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122178 Issued in CA
Practice address
1812 W Park Ave
Redlands, CA 92373-8014
Phone
(909) 649-1358
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 IMF87634 CA
Marriage & Family Therapist 106H00000X 122178 CA Primary

Addresses

Primary practice location

1812 W Park Ave
Redlands, CA 92373-8014

Mailing address

10406 Severn St
Redlands, CA 92374-2886
Phone (909) 649-1358

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF87634CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Sahar Counseling Services Marriage & Family Therapist Current Accepting new patients
San Bernardino County Superintendent of Schools Past Accepting new patients
San Bernardino County Superintendent of Schools Past Accepting new patients

Organizations & group practices 3

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1831552678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 SEVERN ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742886",
            "telephone_number": "909-649-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W PARK AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738014",
            "telephone_number": "909-649-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARBULAND",
        "first_name": "CRYSTAL",
        "middle_name": "HENNAH",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF87634",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.