Individual provider Active NPI

Mandy Law

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1104360932
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT116069 Issued in CA
Practice address
2677 N Main St Ste 130
Santa Ana, CA 92705-6665
Phone
(714) 274-7577
NPI assigned
Dec 13, 2016
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF96790 CA
Marriage & Family Therapist 106H00000X 0717001972 VA
Marriage & Family Therapist 106H00000X 204890 TX
Marriage & Family Therapist 106H00000X LMFT116069 CA Primary

Addresses

Primary practice location

2677 N Main St Ste 130
Santa Ana, CA 92705-6665

Mailing address

PO Box 1662
Monterey Park, CA 91754-8662
Phone (209) 651-0243

Other practice location 1

23121 Verdugo Dr Ste 105
Laguna Hills, CA 92653-1339
Phone (949) 520-2720

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
I20260514001670 CA Practitioner - Marriage and Family Therapist 1759850209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1920 Main St
Suite 350
Irvine, CA 92614-7204

675 S Bradshawe Ave
Monterey Park, CA 91754-3837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF96790CAMDMarriage & Family Therapist
LMFT116069CAMDMarriage & Family Therapist
204890TXMDMarriage & Family Therapist
0717001972VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensible Care, a Medical Corporation CurrentSince Jun 12, 2022 Accepting new patients
Atlas Psychological Family Counseling & Wellness Services, Inc. Marriage & Family Therapist Past Accepting new patients
Free Your Mind Marriage & Family Therapy, Professional Inc Marriage & Family Therapist Past Accepting new patients

Locations

24422 Avenida de la Carlota
Ste 190
Laguna Hills, CA 92653
Phone (800) 801-9833

2677 N Main St
Ste 110
Santa Ana, CA 92705
Phone (657) 232-1139

2677 N Main St
Ste 130
Santa Ana, CA 92705
Phone (714) 274-7577

Organizations & group practices 3

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1104360932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1662",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917548662",
            "telephone_number": "209-651-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 N MAIN ST STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056665",
            "telephone_number": "714-274-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23121 Verdugo Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926531339",
            "country_code": "US",
            "telephone_number": "949-520-2720",
            "fax_number": "949-625-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAW",
        "first_name": "MANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF96790",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001972",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204890",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT116069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.