Kristen Nell Witek, LMFT91337

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT91337 Issued in CA

Practice address

200 Michigan Ave
Vista, CA 92084-5424

Phone

(760) 842-6261

Fax

(760) 726-6102

NPI assigned

May 23, 2012

Last updated

Jul 17, 2023By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1851651921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845424",
            "telephone_number": "760-842-6261",
            "fax_number": "760-726-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845424",
            "telephone_number": "760-842-6261",
            "fax_number": "760-726-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITEK",
        "first_name": "KRISTEN",
        "middle_name": "NELL",
        "credential": "LMFT91337",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 69272",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT91337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Vista, CA
• Providers in Vista, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.