Individual provider Active NPI

Genesis Montealegre, LMFT

  • Marriage & Family Therapist
  • Anaheim, CA
National Provider Identifier
1154914604
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT153189 Issued in CA
Practice address
222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756
Phone
(714) 871-5646
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 LMFT153189 CA Primary

Addresses

Primary practice location

222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756

Mailing address

222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756

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
I20250318002978 CA Practitioner - Marriage and Family Therapist 2860914959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT153189CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Feb 14, 2025 Accepting new patients
Western Youth Services CurrentSince Feb 21, 2021 Accepting new patients

Locations

505 N Euclid St
Ste 300
Anaheim, CA 92801
Phone (714) 871-5646

222 S Harbor Blvd
Ste 650
Anaheim, CA 92805
Phone (714) 871-5646

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1154914604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S HARBOR BLVD STE 650",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S HARBOR BLVD STE 650",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053756",
            "telephone_number": "714-871-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEALEGRE",
        "first_name": "GENESIS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT153189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.