Individual provider Active NPI

Janet C Basalone, LMFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1053664649
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT64666 Issued in CA
Practice address
250 El Camino Real Ste 213
Tustin, CA 92780-3656
Phone
(657) 900-8655
Fax
(657) 900-8656
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 LMFT64666 CA Primary

Addresses

Primary practice location

250 El Camino Real Ste 213
Tustin, CA 92780-3656

Mailing address

250 El Camino Real Ste 213
Tustin, CA 92780-3656
Phone (657) 900-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216002703 CA Practitioner - Marriage and Family Therapist 8022455740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 El Camino Real
Suite 213
Tustin, CA 92780-3656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT64666CAMDMarriage & Family Therapist
89067CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Marrriage and Family Therapy a Professional Corporation CurrentSince Feb 1, 2026 Accepting new patients

Locations

515 E 1st St
Ste D
Tustin, CA 92780
Phone (657) 900-8655

250 El Camino Real
Ste 213
Tustin, CA 92780
Phone (714) 393-1891

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.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1053664649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 213",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803656",
            "telephone_number": "657-900-8655",
            "fax_number": "657-900-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 213",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803656",
            "telephone_number": "657-900-8655",
            "fax_number": "657-900-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASALONE",
        "first_name": "JANET",
        "middle_name": "C",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT64666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.