Fabrice Paracuellos, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT114054 Issued in CA

Practice address

303 Broadway St Ste 104.71
Laguna Beach, CA 92651-1816

Phone

(949) 682-9305

NPI assigned

Nov 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1073056362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST STE 104.71",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511816",
            "telephone_number": "949-682-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST STE 104.71",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511816",
            "telephone_number": "949-682-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARACUELLOS",
        "first_name": "FABRICE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-18",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT114054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "LMFT114054",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay Wickett Ostensen, PHD
• Pacific Coast Naturopathic Health
• Pacifica Medical Supply
• Theron Dean Page Jr.
• David S Palmer, PH.D.
• Charles Michael Parise, M.D.
• Christine Hyunsun Park, MD
• Juhee Park
• Jonathan Lee Parker, DDS
• Simone Kayla Parmenter, FNP

• Marriage & Family Therapist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.