Individual provider Active NPI

Irene Y Lu, LMFT

  • Marriage & Family Therapist
  • Fountain Valley, CA
National Provider Identifier
1184177396
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86374 Issued in CA
Practice address
18430 Brookhurst St Ste 201a
Fountain Valley, CA 92708-6757
Phone
(714) 623-7716
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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 86374 CA Primary

Addresses

Primary practice location

18430 Brookhurst St Ste 201a
Fountain Valley, CA 92708-6757

Mailing address

PO Box 8364
Fountain Valley, CA 92728-8364
Phone (714) 623-7716

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
I20250701004295 CA Practitioner - Marriage and Family Therapist 9133632235 Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18430 Brookhurst St
Suite 201a
Fountain Valley, CA 92708-6757
Phone (714) 623-7716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86374CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Circle Counseling Services PastSince Apr 25, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1184177396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8364",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288364",
            "telephone_number": "714-623-7716",
            "fax_number": "562-261-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 201A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086757",
            "telephone_number": "714-623-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "IRENE",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.