Individual provider Active NPI

Kristen F. Roberts, LMFT

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1841332491
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC50185 Issued in CA
Practice address
2127 W Orangewood Ave
Suite B
Orange, CA 92868-1954
Phone
(714) 634-8500
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X MFC50185 CA Primary

Addresses

Primary practice location

2127 W Orangewood Ave
Suite B
Orange, CA 92868-1954

Mailing address

2127 W Orangewood Ave
#B
Orange, CA 92868-1954
Phone (714) 634-8500

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
I20240110004860 CA Practitioner - Marriage and Family Therapist 6901257252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chiron Psychological IncGroup PAC ID 9234496308, 15 clinicians

Practice addresses (Care Compare)

18200 Yorba Linda Blvd
Suite 106
Yorba Linda, CA 92886-4006
Phone (714) 646-8034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC50185CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiron Psychological, Inc Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
California Institute of Behavior Analysis Marriage & Family Therapist Past Accepting new patients
Leafwing Center PastSince Mar 24, 2024 Accepting new patients

Locations

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

18200 Yorba Linda Blvd
Ste 106
Yorba Linda, CA 92886
Phone (714) 646-8034

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1841332491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 W ORANGEWOOD AVE",
            "address_2": "#B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681954",
            "telephone_number": "714-634-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W ORANGEWOOD AVE",
            "address_2": "SUITE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681954",
            "telephone_number": "714-634-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTEN",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC50185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.