Kristy Fletcher, AMFT 114855

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

114855 Issued in CA

Practice address

4221 Wilshire Blvd Ste 170-16
Los Angeles, CA 90010-3519

Phone

(213) 441-6780

NPI assigned

Aug 6, 2017

Last updated

May 11, 2021By 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

Other names 1

• Mrs. Kristy Fletcher Santos Former name

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": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1851816300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N LOS ROBLES AVE APT 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 170-16",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103519",
            "telephone_number": "213-441-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N El Molino Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911011805",
            "country_code": "US",
            "telephone_number": "626-792-2770 x24",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "KRISTY",
        "name_prefix": "Ms.",
        "credential": "AMFT 114855",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "FLETCHER SANTOS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glynetta Fletcher
• Harold Fletcher, PH.D.
• Ian Edward Fletcher, M.D.
• Jaleesa Monique Fletcher
• Julia Estelle Fletcher, RN
• Krystal Kristina Fletcher
• Megan Fletcher, LCSW
• Shere Leatrice Fletcher
• Tamika C Fletcher, MS
• Theodore Thomas Fletcher, MSW

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 May 11, 2021; 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.