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SANDRA M. KLONSKY M.F.T.
NPI 1124200084
Marriage & Family Therapist in Laguna Hills, CA

Active since December 03, 2007Opted out of Medicare · through Jan 11, 2028
25411 CABOT RD, SUITE 107, LAGUNA HILLS, CA 92653(949) 933-6157(949) 488-7057 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra M. Klonsky M.f.t. NPPES

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

SANDRA M. KLONSKY M.F.T. (NPI 1124200084) is an individual marriage & family therapist in Laguna Hills, California, licensed in California (MFT 36576) and active in the NPI registry since December 2007. She has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1124200084
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSANDRA M. KLONSKYCredential: M.F.T.
Location Address25411 CABOT RD, SUITE 107Laguna Hills, CA 92653-5520
Mailing Address25411 Cabot Rd, Suite 107Laguna Hills, CA 92653-5520 · (949) 933-6157 · Fax (949) 488-7057
Phone(949) 933-6157
Fax(949) 488-7057
Sole ProprietorYes
Enumeration DateDecember 3, 2007
✔ NPI 1124200084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFT 36576
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.
25411 CABOT RD, Laguna Hills, CA 92653
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sandra M. Klonsky M.f.t. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY PORTNOFF, M.D., INC.
Internal Medicine (Rheumatology)
25411 CABOT RD, SUITE 109
LAGUNA HILLS, CA 92653
Orange County (949) 364-5119
MS. JACQUELINE HYMAN I LCSW
Social Worker (Clinical)
25411 CABOT RD, STE 107
LAGUNA HILLS, CA 92653
Orange County (949) 713-7401
DR. SYLVIA B. LANE LCSW, MFT
Social Worker (Clinical)
25411 CABOT RD, SUITE 107
LAGUNA HILLS, CA 92653
Orange County (949) 443-3915
GARY L. SUGARMAN,M.D.,INC.
Clinic/Center (Primary Care)
25411 CABOT RD, SUITE 105
LAGUNA HILLS, CA 92653
Orange County (949) 829-9333
DR. MARK JASON M.D
Specialist
25411 CABOT RD, SUITE 112
LAGUNA HILLS, CA 92653
Orange County (949) 364-5119
MR. VITALIY SHAULOV M.D.
Psychiatry & Neurology (Psychiatry)
25411 CABOT RD, SUITE 116
LAGUNA HILLS, CA 92653
Orange County (949) 309-7903
ARTHRITIS CENTER OF SOUTHERN ORANGE COUNTY
Specialist
25411 CABOT RD, SUITE 112
LAGUNA HILLS, CA 92653
Orange County (949) 364-5119
LEONEL MARTINEZ
Behavior Technician
25411 CABOT RD
LAGUNA HILLS, CA 92653
Orange County (949) 861-7340

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 Sandra Klonsky's NPI number?

The NPI number for Sandra Klonsky is 1124200084. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Where is Sandra Klonsky located?

Sandra Klonsky practices at 25411 Cabot Rd Suite 107, Laguna Hills, CA 92653. The listed phone number is (949) 933-6157.

What is Sandra Klonsky's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sandra Klonsky enrolled in Medicare?

No. Sandra Klonsky has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sandra Klonsky was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.