Active NPI
XI Chen, M.A.
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1023558830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT95119
- Practice address
- 3002 Dow Ave Ste 122
Tustin, CA 92780-7247 - Phone
- (949) 328-7688
- Fax
- (949) 328-7689
- NPI assigned
- Feb 27, 2017
- Last updated
- Feb 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT95119 | CA | Primary |
Addresses
Primary practice location
3002 Dow Ave Ste 122
Tustin, CA 92780-7247
Mailing address
3002 Dow Ave Ste 122
Tustin, CA 92780-7247
Phone (949) 328-7688
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT95119 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Behavior Interventions | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Tustin, CA
- NPI 1750650933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1023558830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 DOW AVE STE 122",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807247",
"telephone_number": "949-328-7688",
"fax_number": "949-328-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 DOW AVE STE 122",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807247",
"telephone_number": "949-328-7688",
"fax_number": "949-328-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "XI",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT95119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.