KEANNA BRISTO
NPI 1093152498
Marriage & Family Therapist in Elk Grove, CA

Active since May 27, 2013
9510 ELK GROVE FLORIN RD RM 110, ELK GROVE, CA 95624(916) 686-7568(916) 689-7596 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keanna Bristo NPPES

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

KEANNA BRISTO (NPI 1093152498) is an individual marriage & family therapist in Elk Grove, California, licensed in California (109939) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1093152498
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKEANNA BRISTO
Location Address9510 ELK GROVE FLORIN RD RM 110Elk Grove, CA 95624-1801
Mailing Address9510 Elk Grove Florin Rd Rm 110Elk Grove, CA 95624-1801 · (916) 686-7568 · Fax (916) 689-7596
Fax(916) 689-7596
Sole ProprietorNo
Enumeration DateMay 27, 2013
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1093152498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 109939
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

9510 ELK GROVE FLORIN RD RM 110, Elk Grove, CA 95624

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093152498, enumerated as an "individual" on May 27, 2013.

The provider is located at 9510 ELK GROVE FLORIN RD RM 110 ELK GROVE, CA 95624 and the phone number is (916) 686-7568.

Marriage & Family Therapist with taxonomy code 106H00000X.