Active NPI
Erin Fennell, LMFT
- Marriage & Family Therapist
- Laguna Niguel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 102874
- Practice address
- 28202 Cabot Rd Ste 300
Laguna Niguel, CA 92677-1249 - Phone
- (949) 478-5288
- NPI assigned
- Apr 28, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 102874 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | BBH-LMFT-LIC-87690 | MT | |
| Marriage & Family Therapist | 106H00000X | MBTMFT-10270 | ID |
Addresses
Primary practice location
28202 Cabot Rd Ste 300
Laguna Niguel, CA 92677-1249
Mailing address
30025 Alicia Pkwy # 20-2200
Laguna Niguel, CA 92677-2090
Phone (949) 478-5288
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MBTMFT-10270 | ID | MD | Marriage & Family Therapist |
| BBH-LMFT-LIC-87690 | MT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sud Specialty Group - Ca | Marriage & Family Therapist | Current | Accepting new patients |
Locations
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
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.
-
dba Rula Health
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1083091094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30025 ALICIA PKWY # 20-2200",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772090",
"telephone_number": "949-478-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28202 CABOT RD STE 300",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771249",
"telephone_number": "949-478-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNELL",
"first_name": "ERIN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102874",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MT",
"license": "BBH-LMFT-LIC-87690",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "MBTMFT-10270",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Azadeh Farasat
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- Stephanie Anne Reich Fermelia, LCSW
- Myrna Fernandez, LPT
- Brooke Carrington Ferrell
- Ashley Dean Fick, PSY.D.
- Paul Fick, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.