Individual provider Active NPI

Christianne Cook D'Ambrosio, MFT

  • Counselor
  • Newport Beach, CA
National Provider Identifier
1043503766
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MFCC24387 Issued in CA
Practice address
26 Ocean Vis
Newport Beach, CA 92660-6224
Phone
(949) 252-9009
Fax
(949) 644-6898
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MFCC24387 CA Primary

Addresses

Primary practice location

26 Ocean Vis
Newport Beach, CA 92660-6224

Mailing address

26 Ocean Vis
Newport Beach, CA 92660-6224
Phone (949) 252-9009

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
MFCC24387CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1043503766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 OCEAN VIS",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606224",
            "telephone_number": "949-252-9009",
            "fax_number": "949-644-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 OCEAN VIS",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606224",
            "telephone_number": "949-252-9009",
            "fax_number": "949-644-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMBROSIO",
        "first_name": "CHRISTIANNE",
        "middle_name": "COOK",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFCC24387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.