Active NPI
Colleen Mary Kintner, LMFT
- Marriage & Family Therapist
- Redlands, CA
National Provider Identifier
1982839882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 14448
- Practice address
- 255 Terracina Blvd
Suite 204
Redlands, CA 92373-4870 - Phone
- (909) 798-1763
- NPI assigned
- May 20, 2009
- Last updated
- May 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 14448 | CA | Primary |
Addresses
Primary practice location
255 Terracina Blvd
Suite 204
Redlands, CA 92373-4870
Mailing address
255 Terracina Blvd
Suite 204
Redlands, CA 92373-4870
Phone (909) 798-1763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC 14448 | Other | CA | BOARD OF BEHAVIORAL SCIENCES, STATE OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1982839882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 TERRACINA BLVD",
"address_2": "SUITE 204",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734870",
"telephone_number": "909-798-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 TERRACINA BLVD",
"address_2": "SUITE 204",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734870",
"telephone_number": "909-798-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINTNER",
"first_name": "COLLEEN",
"middle_name": "MARY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "14448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES, STATE OF CALIFORNIA",
"identifier": "MFC 14448",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.