Active NPI
Mr. Therapist, Individual & Family Therapy Inc.
- Marriage & Family Therapist
- San Clemente, CA
National Provider Identifier
1205632965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- MR. THERAPIST, INDIVIDUAL & FAMILY THERAPY INC.
- Practice address
- 1000 Calle Amanecer
San Clemente, CA 92673-6214 - Phone
- (949) 466-1560
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Emmanuel Romero, LMFT
- Title
- Owner
- Phone
- (949) 466-1560
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1000 Calle Amanecer
San Clemente, CA 92673-6214
Mailing address
1000 Calle Amanecer
San Clemente, CA 92673-6214
Phone (949) 466-1560
National Provider Directory
National Provider DirectoryLocations
1000 Calle Amanecer
San Clemente, CA 92673
Phone (949) 481-9113
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Clemente, CA
- NPI 1982120200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1205632965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CALLE AMANECER",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736214",
"telephone_number": "949-466-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CALLE AMANECER",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736214",
"telephone_number": "949-466-1560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MR. THERAPIST, INDIVIDUAL & FAMILY THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-23",
"status": "A",
"authorized_official_last_name": "ROMERO",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-466-1560",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.