CHRISTINA ILLENCIK LMFT
NPI 1992440986
Marriage & Family Therapist in Redlands, CA

Q: What is Christina Illencik's NPI number?

The NPI number for Christina Illencik is 1992440986. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Q: What is Christina Illencik's specialty?

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

Active since May 03, 2022PECOS Enrolled

1902 ORANGE TREE LN STE 200, REDLANDS, CA 92374(909) 798-6200(909) 798-6210 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Christina Illencik Lmft NPPES

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

CHRISTINA ILLENCIK LMFT (NPI 1992440986) is an individual marriage & family therapist in Redlands, California and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992440986

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCHRISTINA ILLENCIKCredential: LMFT

Location Address1902 ORANGE TREE LN STE 200Redlands, CA 92374-2800

Mailing Address1902 Orange Tree Ln Ste 200Redlands, CA 92374-2800 · (909) 798-6200 · Fax (909) 798-6210

Phone(909) 798-6200

Fax(909) 798-6210

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 3, 2022

NPPES CertifiedMay 3, 2022

✔ NPI 1992440986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

1902 ORANGE TREE LN STE 200, Redlands, CA 92374

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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 (PECOS)

Christina Illencik Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254831670

PECOS Enrollment IDI20250821000242

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.

NYEESHA HALE-ALVAREZ LMFT

Marriage & Family Therapist