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KRIS COFFMAN
NPI 1508353483
Marriage & Family Therapist in Eureka, CA

Active since April 17, 2018Opted out of Medicare · through Feb 11, 2028
3300 BROADWAY STE 502, EUREKA, CA 95501(707) 440-9299 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Mar 30, 2020, Apr 17, 2018 (3 updates tracked since 2018).

About Kris Coffman NPPES

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

KRIS COFFMAN (NPI 1508353483) is an individual marriage & family therapist in Eureka, California, licensed in California (AMFT104301) and active in the NPI registry since April 2018. She has opted out of Medicare through February 11, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508353483
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKRIS COFFMAN
Location Address3300 BROADWAY STE 502Eureka, CA 95501-3812
Mailing Address3300 Broadway Ste 502Eureka, CA 95501-3812 · (707) 440-9299
Phone(707) 440-9299
Sole ProprietorNo
Enumeration DateApril 17, 2018
Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 3, 2022
✔ NPI 1508353483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · AMFT104301✔ Licensed in CA · LMFT131324
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.
3300 BROADWAY STE 502, Eureka, CA 95501
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Secondary Practice Locations 2

Location 124077 CA-49Nevada City, CA 95959 · Phone (530) 265-9057
Location 22101 Stone Blvd Ste 175West Sacramento, CA 95691-4055 · Phone (916) 425-7733

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kris Coffman 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 February 11, 2024 through February 11, 2028.

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

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 Kris Coffman's NPI number?

The NPI number for Kris Coffman is 1508353483. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Kris Coffman located?

Kris Coffman practices at 3300 Broadway Ste 502, Eureka, CA 95501. The listed phone number is (707) 440-9299.

What is Kris Coffman's specialty?

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

Is Kris Coffman enrolled in Medicare?

No. Kris Coffman has opted out of Medicare through February 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 Kris Coffman was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.