Kristine Ann Recendez, LPCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8405 Issued in CA

Practice address

5151 N Palm Ave Ste 400
Fresno, CA 93704-2208

Phone

(559) 289-6406

Fax

(559) 523-4652

NPI assigned

Feb 20, 2014

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endeavor Behavioral Health Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1164150686

  Professional

  NPD Authorized official
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  NPD
• QCC-Quality Group Homes, Inc.

  dba Quality Counseling Center

  • Point of Service
  • Fresno, CA
  • NPI 1457893422

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1982029427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE STE 400",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042208",
            "telephone_number": "559-289-6406",
            "fax_number": "559-523-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE STE 400",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042208",
            "telephone_number": "559-289-6406",
            "fax_number": "559-523-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECENDEZ",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8405",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KRecendez@itherapymail.com",
            "affiliation": "N",
            "endpointDescription": "Secure and encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "786 W San Madele Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937042330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nasaret Rebollo
• Rebound Physical Therapy Inc.
• Margarette Recalde, O.D.
• Samuel Recalde
• Coty Lee Recek
• Dianne Receno
• Record Med Care LLC
• Debra Lynn Rector, NP
• Lura Justice Reddington, M.D.
• Reddy Medical Group Inc

• Mental Health Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.