Active NPI
Kristina Blachere, MFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1902018039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51857
- Practice address
- 459 Fulton St Ste 200
San Francisco, CA 94102-4365 - Phone
- (415) 255-3252
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51857 | CA | Primary |
Addresses
Primary practice location
459 Fulton St Ste 200
San Francisco, CA 94102-4365
Mailing address
459 Fulton St Ste 200
San Francisco, CA 94102-4365
Phone (415) 255-3252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC 51857 | Other | CA | MFT LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51857 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1902018039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 FULTON ST STE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941024365",
"telephone_number": "415-255-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 FULTON ST STE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941024365",
"telephone_number": "415-255-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACHERE",
"first_name": "KRISTINA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT LICENSE #",
"identifier": "MFC 51857",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.