Active NPI
Caitlinn Concepcion
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1023693868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 145991
- Practice address
- 1201 W la Veta Ave
Orange, CA 92868-4203 - Phone
- (714) 509-7290
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 145991 | CA | Primary |
Addresses
Primary practice location
1201 W la Veta Ave
Orange, CA 92868-4203
Mailing address
2003 W Bushell St
Anaheim, CA 92805-6589
Phone (818) 322-5865
Other practice location 1
2677 N Main St Ste 130
Santa Ana, CA 92705-6665
Phone (800) 801-9833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145991 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1023693868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 W BUSHELL ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056589",
"telephone_number": "818-322-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W LA VETA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684203",
"telephone_number": "714-509-7290"
}
],
"practiceLocations": [
{
"address_1": "2677 N Main St Ste 130",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927056665",
"country_code": "US",
"telephone_number": "800-801-9833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONCEPCION",
"first_name": "CAITLINN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-12",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "145991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
- Compassionate Heart Senior Care, Inc.
- Comprehensive Imaging Partners of Orange County, LLC
- Comprehensive Pulmonary and Primary Care of Orange County
- Jana Cari Conant
- Joyce Conceicao, MD
- Roderick Concepcion, OTR
- Anthony Hugo Conciatori, D.O.
- Janice McKinley Coniglio, LCSW
- Karen Scheufler Conklin, M.A., MFTI
- Susanne M Conklin, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.