Organization Active NPI

Mended Heart Family Counseling & Trauma Recovery Center, P.C.

  • Marriage & Family Therapist
  • Laguna Beach, CA
National Provider Identifier
1104573138
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MENDED HEART FAMILY COUNSELING & TRAUMA RECOVERY CENTER, P.C.
Practice address
1968 S Coast Hwy Ste 5375
Laguna Beach, CA 92651-3681
Phone
(949) 468-2885
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Jennifer Morris, MA
Title
Founder
Phone
(949) 468-2885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1968 S Coast Hwy Ste 5375
Laguna Beach, CA 92651-3681

Mailing address

1968 S Coast Hwy Ste 5375
Laguna Beach, CA 92651-3681
Phone (949) 468-2885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1104573138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY STE 5375",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "949-468-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY STE 5375",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "949-468-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED HEART FAMILY COUNSELING & TRAUMA RECOVERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "949-468-2885",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.