1. Home
  2. Directory
  3. California
  4. Alpine
  5. Marriage Family Therapist
  6. NPI Profile

HAE LYNN KWON MFT
NPI 1790454627
Marriage & Family Therapist in Alpine, CA

Active since September 13, 2021PECOS Enrolled
2271 ALPINE BLVD STE A, ALPINE, CA 91901(888) 688-0248 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2025, Mar 14, 2023, Jan 11, 2023 and 1 more (4 updates tracked since 2021).

About Hae Lynn Kwon Mft NPPES

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

HAE LYNN KWON MFT (NPI 1790454627) is an individual marriage & family therapist in Alpine, California, licensed in California (157188) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1790454627
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHAE LYNN KWONCredential: MFT
Location Address2271 ALPINE BLVD STE AAlpine, CA 91901-1101
Mailing Address2271 Alpine Blvd Ste AAlpine, CA 91901-1101 · (888) 688-0248
Phone(888) 688-0248
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
Last NPPES UpdateNovember 24, 20254 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1790454627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 157188✔ Licensed in CA · 135883
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 ListedCounselorTaxonomy 101Y00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2271 ALPINE BLVD STE A, Alpine, CA 91901
Open in Google Maps ↗

Secondary Practice Location 1

Location 11250 6th Ave Ste 100San Diego, CA 92101-4368 · Phone (619) 515-2430

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hae Lynn Kwon Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hae Kwon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fusion Care Group, A Psychological Professional Corporation
Same address
Clinical
2271 ALPINE BLVD STE A
Alpine, CA 91901
  • Reassigned Medicare billing, California enrollment
  • 92 clinicians in this Medicare group
NPI 1275177982 (619) 448-1216
Family Health Centers Of San Diego, Inc
11 mi
Federally Qualified Health Center (FQHC)
1111 W CHASE AVE
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1104861681 (619) 515-2499

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MS. AMANDA THOMAS-HARRIS AMFT
Counselor (Mental Health)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
San Diego County (888) 688-0248
VERONICA VILLALOBOS LPCC
Counselor (Professional)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
San Diego County (888) 688-0248
MAKAYLA MILLER
Marriage & Family Therapist
2271 ALPINE BLVD STE A
ALPINE, CA 91901
San Diego County (888) 688-0248
MRS. VALERIA MOORE-MEDINA M.S.
Marriage & Family Therapist
2271 ALPINE BLVD STE A
ALPINE, CA 91901
San Diego County (888) 688-0248
ERIN M MCGOWAN-ROBERTSON
Counselor (Mental Health)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
San Diego County (619) 448-1216
DR. CANDACE WARD-MCKINLAY PH.D.
Psychologist (Counseling)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
San Diego County (203) 848-9716
TYLER WRIGHT MD
Psychiatry & Neurology (Psychiatry)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
San Diego County (888) 688-0248
IME ATTAH
Marriage & Family Therapist
2271 ALPINE BLVD STE A
ALPINE, CA 91901
San Diego County (619) 448-1216

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 Hae Kwon's NPI number?

The NPI number for Hae Kwon is 1790454627. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Hae Kwon located?

Hae Kwon practices at 2271 Alpine Blvd Ste A, Alpine, CA 91901. The listed phone number is (888) 688-0248.

What is Hae Kwon's specialty?

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

Is Hae Kwon enrolled in Medicare?

Yes. Hae Kwon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hae Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hae Kwon reassigns Medicare benefits to 2 organizations: Fusion Care Group, A Psychological Professional Corporation (Alpine, CA) and Family Health Centers Of San Diego, Inc (El Cajon, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hae Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hae Kwon was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.