Individual provider Active NPI

Eva E Kuncewicki

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1073009700
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105613 Issued in CA
Practice address
1001 S Grand Ave # B
Santa Ana, CA 92705
Phone
(714) 667-7613
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 105613 CA Primary

Addresses

Primary practice location

1001 S Grand Ave # B
Santa Ana, CA 92705

Mailing address

1030 Belmont Ave
Long Beach, CA 90804-4227
Phone (949) 510-6689

Other practice location 1

5199 E Pacific Coast Hwy
Long Beach, CA 90804-3309
Phone (949) 510-6689

Other practice location 2

5199 E Pacific Coast Hwy
Long Beach, CA 90804-3309
Phone (949) 510-6689

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
105613CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Hanna Counseling Services Past Accepting new patients
Rose Hanna Counseling Services Marriage & Family Therapist PastSince May 28, 2026 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1073009700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BELMONT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044227",
            "telephone_number": "949-510-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GRAND AVE # B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-667-7613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5199 E Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908043309",
            "country_code": "US",
            "telephone_number": "949-510-6689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5199 E Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908043309",
            "country_code": "US",
            "telephone_number": "949-510-6689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNCEWICKI",
        "first_name": "EVA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.