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: August 02, 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, maintains a secondary practice location in San Diego, and is a graduate of Other (2022).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
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
2271 ALPINE BLVD STE A, Alpine, CA 91901

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6406359561
PECOS Enrollment IDI20250912004085
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.

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.

Counselor (Mental Health)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
Counselor (Professional)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
Marriage & Family Therapist
2271 ALPINE BLVD STE A
ALPINE, CA 91901
Marriage & Family Therapist
2271 ALPINE BLVD STE A
ALPINE, CA 91901
Counselor (Mental Health)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
Psychologist (Counseling)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
Psychiatry & Neurology (Psychiatry)
2271 ALPINE BLVD STE A
ALPINE, CA 91901
Marriage & Family Therapist
2271 ALPINE BLVD STE A
ALPINE, CA 91901

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.

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 8 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.