Active NPI
Latrina Nicole Hynes
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1144500034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF93225
- Practice address
- 801 E Chapman Ave
#203
Fullerton, CA 92831-3839 - Phone
- (714) 680-9000
- Fax
- (714) 680-8233
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF93225 | CA | Primary |
Addresses
Primary practice location
801 E Chapman Ave
#203
Fullerton, CA 92831-3839
Mailing address
734 N Inglewood Ave
Apt. 2
Inglewood, CA 90302-2142
Phone (562) 293-5962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF93225 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace & Mind Wellness Family Counseling Center Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1620 Centinela Ave
Ste 201
Inglewood, CA 90302
Phone (562) 293-5962
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Inglewood, CA
- NPI 1477168524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1144500034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 N INGLEWOOD AVE",
"address_2": "APT. 2",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903022142",
"telephone_number": "562-293-5962",
"fax_number": "310-398-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E CHAPMAN AVE",
"address_2": "#203",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313839",
"telephone_number": "714-680-9000",
"fax_number": "714-680-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYNES",
"first_name": "LATRINA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF93225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.