Kristy Joanelle Paterson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

81107 Issued in CA

Practice address

8881 M 119
Harbor Springs, MI 49740-9479

Phone

(231) 347-5400

Fax

(231) 348-2515

NPI assigned

Mar 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kristy Joanelle Mossburg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1992197727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEADOW WOOD DR",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409463",
            "telephone_number": "805-450-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 M 119",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409479",
            "telephone_number": "231-347-5400",
            "fax_number": "231-348-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 South St Ste T",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934015039",
            "country_code": "US",
            "telephone_number": "805-450-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATERSON",
        "first_name": "KRISTY",
        "middle_name": "JOANELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "MOSSBURG",
            "middle_name": "JOANELLE",
            "prefix": "MS.",
            "credential": "MFT-I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.