Individual provider Active NPI

Asal Larry, MFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1083958912
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51003 Issued in CA
Practice address
1600 Dove St Ste 335
Newport Beach, CA 92660-1433
Phone
(949) 395-8246
NPI assigned
Nov 15, 2012
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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 51003 CA Primary

Addresses

Primary practice location

1600 Dove St Ste 335
Newport Beach, CA 92660-1433

Mailing address

28241 Crown Valley Pkwy # F306
Laguna Niguel, CA 92677-4441
Phone (949) 395-8246

Other practice location 1

4701 Von Karman Ave Ste 330
Newport Beach, CA 92660-8136
Phone (949) 395-8246

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
I20240325003498 CA Practitioner - Marriage and Family Therapist 2860836020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51003CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage & Family Therapy With Asal Larry and Associates Inc Marriage & Family Therapist CurrentSince Dec 28, 2023 Accepting new patients

Locations

28241 Crown Valley Pkwy
#F306
Laguna Niguel, CA 92677
Phone (949) 395-8246

1600 Dove St
Ste 335
Newport Beach, CA 92660
Phone (949) 295-8246

4701 Von Karman Ave
Ste 330
Newport Beach, CA 92660
Phone (213) 239-3317

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1083958912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKWY # F306",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774441",
            "telephone_number": "949-395-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST STE 335",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601433",
            "telephone_number": "949-395-8246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Von Karman Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926608136",
            "country_code": "US",
            "telephone_number": "949-395-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARRY",
        "first_name": "ASAL",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.