Kristin Green, a Licensed Marriage and Family Therapist

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KRISTIN GREEN, A LICENSED MARRIAGE AND FAMILY THERAPIST

Doing business as

Green Integrative Wellness Centers

Practice address

10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648

Phone

(858) 442-4480

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Kristin Green, LMFT

Title

Ceo/President

Phone

(858) 442-4480

Specialties & licenses 1

Addresses

Other names 1

• Green Integrative Wellness Centers Doing business as

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1871310417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311648",
            "telephone_number": "858-442-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN GREEN, A LICENSED MARRIAGE AND FAMILY THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "858-442-4480",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Integrative Wellness Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priya Murali Krishnan, MD
• Shawn Jay Krishnan
• Katharina Krison
• Kristen M Tenwolde
• Karin Kristensen, PSYD
• Kristin R Rice MD PC
• Kristina Copley Marriage and Family Therapy, Inc
• Kristine Ching OT Inc
• Kristine Ching OT Inc
• Kristine N. Tran, DDS, Inc.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Nov 22, 2024; 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.