Individual provider Active NPI

Michelle Marie Eynon, LMFT

  • Marriage & Family Therapist
  • Rancho Mission Viejo, CA
National Provider Identifier
1013203983
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42124 Issued in CA
Practice address
9 Abarrota St
Rancho Mission Viejo, CA 92694
Phone
(949) 371-6280
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 42124 CA Primary

Addresses

Primary practice location

9 Abarrota St
Rancho Mission Viejo, CA 92694

Mailing address

30767 Gateway Place
#619
Rancho Mission Viejo, CA 92694
Phone (310) 739-7027

Other names 1

  • Mrs. Michelle Marie Hajab Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42124CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Star View Behavioral Health, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1013203983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30767 GATEWAY PLACE",
            "address_2": "#619",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "310-739-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ABARROTA ST",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-371-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYNON",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HAJAB",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.