Active NPI
Annmarie Nelson, L.M.F.T.
- Marriage & Family Therapist
- Mission Viejo, CA
National Provider Identifier
1215220231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97177
- Practice address
- 27201 Puerta Real Suite 300
PMB 305
Mission Viejo, CA 92691 - Phone
- (949) 445-0510
- NPI assigned
- May 24, 2011
- Last updated
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166001530 | IL | |
| Marriage & Family Therapist | 106H00000X | 002043 | NY | |
| Marriage & Family Therapist | 106H00000X | 204123 | TX | |
| Marriage & Family Therapist | 106H00000X | LMFT97177 | CA | |
| Marriage & Family Therapist | 106H00000X | 97177 | CA | Primary |
Addresses
Primary practice location
27201 Puerta Real Suite 300
PMB 305
Mission Viejo, CA 92691
Mailing address
27201 Puerta Real Suite 300
PMB 305
Mission Viejo, CA 92691
Phone (949) 445-0510
Other practice location 1
26060 Acero
Suite #103
Mission Viejo, CA 92691
Phone (949) 445-0510
Other practice location 2
1130 E Clark Ave # 150-1336
Santa Maria, CA 93455-5178
Phone (714) 536-0077
Other practice location 3
2501 Chatham Rd Ste R
Springfield, IL 62704-4188
Phone (949) 445-0515
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
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002043 | NY | MD | Mental Health Counselor |
| 97177 | CA | MD | Marriage & Family Therapist |
| LMFT97177 | CA | MD | Marriage & Family Therapist |
| 166001530 | IL | MD | Marriage & Family Therapist |
| 204123 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1215220231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27201 PUERTA REAL SUITE 300",
"address_2": "PMB 305",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-445-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27201 PUERTA REAL SUITE 300",
"address_2": "PMB 305",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-445-0510"
}
],
"practiceLocations": [
{
"address_1": "26060 Acero",
"address_2": "Suite #103",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "92691",
"country_code": "US",
"telephone_number": "949-445-0510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 E Clark Ave # 150-1336",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934555178",
"country_code": "US",
"telephone_number": "714-536-0077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Chatham Rd Ste R",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627044188",
"country_code": "US",
"telephone_number": "949-445-0515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "ANNMARIE",
"name_prefix": "Ms.",
"credential": "L.M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166001530",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "002043",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204123",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT97177",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
- Carrie Neal, SLP
- Amanda Neeble, PSYD
- Negah Parsangi DDS Inc (marguerite dental care)
- Lisa Neitzey
- Alina Nejadian, LMFT
- Bruce Leslie Nelson, M.D.
- Sina Neshatian, M.D.
- Neurological Surgery Medical Associates Inc
- Neurovascular and Spine Associates, a Medical Corporation
- New Attitude Recovery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.