Active NPI
Kristin Blaney, Individual & Family Therapy, Inc.
- Mental Health Counselor
- San Clemente, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristin Joanna Blaney, MA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- San Clemente, CA
- NPI 1609433101
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.
-
- Marriage & Family Therapist
- San Clemente, CA
- NPI 1285092791
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.