LARISSA EMILY KIBORT CADC
NPI 1053042242
Counselor - Addiction (Substance Use Disorder) in Dana Point, CA

Active since June 20, 2022
34185 VIOLET LANTERN ST UNIT 103, DANA POINT, CA 92629(949) 356-7952 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larissa Emily Kibort Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISSA EMILY KIBORT CADC (NPI 1053042242) is an individual addiction (substance use disorder) provider in Dana Point, California, licensed in California (CI35830622) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1053042242
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLARISSA EMILY KIBORTCredential: CADC
Location Address34185 VIOLET LANTERN ST UNIT 103Dana Point, CA 92629-2508
Mailing Address24341 Conejo Apt 4Laguna Hills, CA 92656-3144 · (708) 446-1162
Sole ProprietorNo
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
NPI 1053042242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · CI35830622
34185 VIOLET LANTERN ST UNIT 103, Dana Point, CA 92629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa Kibort's NPI number?

The NPI number for Larissa Kibort is 1053042242. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Larissa Kibort located?

Larissa Kibort practices at 34185 Violet Lantern St Unit 103, Dana Point, CA 92629. The listed phone number is (949) 356-7952.

What is Larissa Kibort's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Larissa Kibort was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.