Kristina Forino, RADT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1028 Reno Ave
Modesto, CA 95351-1127

Phone

(209) 579-1103

Fax

(209) 578-1085

NPI assigned

Oct 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Nirvana Drug and Alcohol Institute

  • Substance Abuse Rehabilitation Facility
  • Modesto, CA
  • NPI 1811200439
  NPD (past)
• Victor Community Support Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Stockton, CA
  • NPI 1932251980
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1831649052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 RENO AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511127",
            "telephone_number": "209-579-1103",
            "fax_number": "209-578-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 RENO AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511127",
            "telephone_number": "209-579-1103",
            "fax_number": "209-578-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2495 W March Ln Ste 125",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952078224",
            "country_code": "US",
            "telephone_number": "209-465-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 N El Dorado St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021305",
            "country_code": "US",
            "telephone_number": "209-938-0228",
            "fax_number": "209-938-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORINO",
        "first_name": "KRISTINA",
        "credential": "RADT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerold R Ford, DC
• Marissa Rose Ford
• Alexis Foreman
• Andre Levon Foreman
• Robert Alan Forester, M.D.
• Rabia Formoli, MD
• Katayoon Formul
• Mohammad Adib Formul
• Katelynn Forney
• Raymond G Forney IV

• Mental Health Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.