Individual provider Active NPI

Marnee Reiley, M.A., LMFT

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1154673275
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
83021 Issued in CA
Practice address
17682 Mitchell N
Suite 104
Irvine, CA 92614-6046
Phone
(949) 648-7991
NPI assigned
Oct 12, 2012
Last updated
Oct 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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 83021 CA Primary

Addresses

Primary practice location

17682 Mitchell N
Suite 104
Irvine, CA 92614-6046

Mailing address

17682 Mitchell N
Suite 104
Irvine, CA 92614-6046
Phone (949) 648-7991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
83021CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marnee Reiley, Licensed Marriage and Family Therapist, Inc. CurrentSince Jul 21, 2024 Accepting new patients

Locations

17682 Mitchell N
Ste 104
Irvine, CA 92614
Phone (949) 394-5057

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": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1154673275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17682 MITCHELL N",
            "address_2": "SUITE 104",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146046",
            "telephone_number": "949-648-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17682 MITCHELL N",
            "address_2": "SUITE 104",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146046",
            "telephone_number": "949-648-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILEY",
        "first_name": "MARNEE",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.