KRISTINA AKEMI KOMORI
NPI 1164871083
Marriage & Family Therapist in Fullerton, CA

Q: What is Kristina Komori's NPI number?

The NPI number for Kristina Komori is 1164871083. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Q: What is Kristina Komori's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristina Komori was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since June 10, 2016PECOS EnrolledAccepts Medicare Assignment

1530 W OLIVE AVE, FULLERTON, CA 92833(714) 766-9771 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kristina Akemi Komori NPPES

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

KRISTINA AKEMI KOMORI (NPI 1164871083) is an individual marriage & family therapist in Fullerton, California, licensed in California (132718) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164871083

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKRISTINA AKEMI KOMORI

Location Address1530 W OLIVE AVEFullerton, CA 92833-3954

Mailing Address1530 W Olive AveFullerton, CA 92833-3954

Phone(714) 766-9771

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 10, 2016

Last NPPES UpdateNovember 1, 2024

NPPES CertifiedNovember 1, 2024

✔ NPI 1164871083 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 · 132718

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1530 W OLIVE AVE, Fullerton, CA 92833

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina Akemi Komori is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709381403

PECOS Enrollment IDI20250924001922

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kristina Komori's NPI number?

The NPI number for Kristina Komori is 1164871083. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Kristina Komori located?

Kristina Komori practices at 1530 W Olive Ave, Fullerton, CA 92833. The listed phone number is (714) 766-9771.

What is Kristina Komori's specialty?

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

Is Kristina Komori enrolled in Medicare?

Yes. Kristina Komori is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristina Komori was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.