Individual provider Active NPI

Margaret Van Ackeren, MA, MFT

  • Marriage & Family Therapist
  • Garden Grove, CA
National Provider Identifier
1164718508
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 48421 Issued in CA
Practice address
12399 Lewis St
Ste 202
Garden Grove, CA 92840-4682
Phone
(714) 750-0575
Fax
(714) 750-0160
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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 MFC 48421 CA Primary

Addresses

Primary practice location

12399 Lewis St
Ste 202
Garden Grove, CA 92840-4682

Mailing address

12399 Lewis St
Ste 202
Garden Grove, CA 92840-4682
Phone (714) 750-0575

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 48421CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1164718508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12399 LEWIS ST",
            "address_2": "STE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404682",
            "telephone_number": "714-750-0575",
            "fax_number": "714-750-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12399 LEWIS ST",
            "address_2": "STE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404682",
            "telephone_number": "714-750-0575",
            "fax_number": "714-750-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ACKEREN",
        "first_name": "MARGARET",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.