Organization Active NPI

Kristin Blaney, Individual & Family Therapy, Inc.

  • Mental Health Counselor
  • San Clemente, CA
National Provider Identifier
1902594773
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KRISTIN BLANEY, INDIVIDUAL & FAMILY THERAPY, INC.
Practice address
302 N El Camino Real Ste 216
San Clemente, CA 92672-4778
Phone
(949) 633-6516
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Mrs. Kristin Joanna Blaney, MANPI 1285092791
Title
LMFT
Phone
(949) 633-6516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

302 N El Camino Real Ste 216
San Clemente, CA 92672-4778

Mailing address

302 N El Camino Real Ste 216
San Clemente, CA 92672-4778
Phone (949) 633-6516

National Provider Directory

National Provider Directory
Tax ID family
Kristin Blaney Individual Family Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

302 N El Camino Real
Ste 216
San Clemente, CA 92672
Phone (949) 212-3266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1902594773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 216",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724778",
            "telephone_number": "949-633-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 216",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724778",
            "telephone_number": "949-633-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN BLANEY, INDIVIDUAL & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "BLANEY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "JOANNA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "949-633-6516",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.