Active NPI
Larae Kreitz
- Mental Health Counselor
- San Jacinto, CA
National Provider Identifier
1982867768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 950 N Ramona Blvd
Suite 5
San Jacinto, CA 92582-2567 - Phone
- (951) 663-4842
- NPI assigned
- Jul 2, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
950 N Ramona Blvd
Suite 5
San Jacinto, CA 92582-2567
Mailing address
950 N Ramona Blvd
Suite 5
San Jacinto, CA 92582-2567
Phone (951) 663-4842
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": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1982867768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N RAMONA BLVD",
"address_2": "SUITE 5",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925822567",
"telephone_number": "951-663-4842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N RAMONA BLVD",
"address_2": "SUITE 5",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925822567",
"telephone_number": "951-663-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREITZ",
"first_name": "LARAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.