Individual provider Active NPI

Kristina Murray

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1871049817
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99153 Issued in CA
Practice address
161 W Victoria St
Long Beach, CA 90805-2175
Phone
(323) 381-0837
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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
Clinical Social Worker 1041C0700X 99153 CA Primary

Addresses

Primary practice location

161 W Victoria St
Long Beach, CA 90805-2175

Mailing address

10979 Reed Hartman Hwy Ste 317
Blue Ash, OH 45242-2800
Phone (513) 258-4051

Other practice location 1

10979 Reed Hartman Hwy Ste 317
Blue Ash, OH 45242-2800
Phone (513) 258-4051

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
I20251014003768 CA Practitioner - Clinical Social Worker 7517454424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Blue Psychological ServicesGroup PAC ID 3678908357, 23 clinicians

Practice addresses (Care Compare)

15235 Burbank Blvd
Suite A2
Sherman Oaks, CA 91411-3555
Phone (310) 306-0335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99153CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sure Space Therapy, LLC Clinical Current Accepting new patients
Pacific Blue Psychological Services CurrentSince Sep 30, 2025 Accepting new patients

Locations

3570 E Imperial Hwy
Lynwood, CA 90262
Phone (858) 883-3277

15235 Burbank Blvd
Ste A2
Van Nuys, CA 91411
Phone (949) 504-1963

Organizations & group practices 2

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1871049817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY STE 317",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422800",
            "telephone_number": "513-258-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W VICTORIA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052175",
            "telephone_number": "323-381-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10979 Reed Hartman Hwy Ste 317",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452422800",
            "country_code": "US",
            "telephone_number": "513-258-4051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.