CHRISTIAN MAKENNA CLEMENTS LMFT
NPI 1639690506
Marriage & Family Therapist in Oakland, CA

Active since June 30, 2017Opted out of Medicare · through Jan 13, 2028
370 GRAND AVE STE 4, OAKLAND, CA 94610(925) 553-4112 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2022, Jul 21, 2022, Feb 21, 2020 and 1 more (4 updates tracked since 2017).

About Christian Makenna Clements Lmft NPPES

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

CHRISTIAN MAKENNA CLEMENTS LMFT (NPI 1639690506) is an individual marriage & family therapist in Oakland, California, licensed in California (111159) and active in the NPI registry since June 2017. She has opted out of Medicare through January 13, 2028 and maintains a secondary practice location in San Ramon.

NPPES Registry Identity

NPI1639690506
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHRISTIAN MAKENNA CLEMENTSCredential: LMFT
Location Address370 GRAND AVE STE 4Oakland, CA 94610-4874
Mailing Address140 Flora Ave Apt 207Walnut Creek, CA 94595-1239 · (925) 553-4112
Sole ProprietorNo
Enumeration DateJune 30, 2017
Last NPPES UpdateAugust 26, 20224 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1639690506 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 · 111159
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
370 GRAND AVE STE 4, Oakland, CA 94610

Secondary Practice Location 1

Location 13180 Crow Canyon Pl Ste 140San Ramon, CA 94583-1339 · Phone (925) 820-1467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Christian Makenna Clements Lmft 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 13, 2024 through January 13, 2028.

Opt-Out Effective DateJanuary 13, 2024
Opt-Out In Effect ThroughJanuary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
370 GRAND AVE STE 4
OAKLAND, CA 94610
Marriage & Family Therapist
370 GRAND AVE STE 4
OAKLAND, CA 94610
Marriage & Family Therapist
370 GRAND AVE STE 4
OAKLAND, CA 94610
Social Worker (Clinical)
370 GRAND AVE STE 4
OAKLAND, CA 94610

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 Christian Clements's NPI number?

The NPI number for Christian Clements is 1639690506. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Christian Clements located?

Christian Clements practices at 370 Grand Ave Ste 4, Oakland, CA 94610. The listed phone number is (925) 553-4112.

What is Christian Clements's specialty?

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

Is Christian Clements enrolled in Medicare?

No. Christian Clements has opted out of Medicare through January 13, 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 Christian Clements was last updated on August 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.