Active NPI
Fuentes Marriage and Family Therapy Practices, Inc.
Doing business as Baby Bump Therapy
- Marriage & Family Therapist
- Irvine, CA
National Provider Identifier
1215666482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- FUENTES MARRIAGE AND FAMILY THERAPY PRACTICES, INC.
- Doing business as
- Baby Bump Therapy
Baby Bumps and Brushes
Couple for Couples Counseling - Practice address
- 19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407 - Phone
- (949) 484-5008
- NPI assigned
- Jun 6, 2022
- Last updated
- Oct 9, 2023
- 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
- Mrs. Chelsea Crow-Fuentes, LMFT, PMH-C
- Title
- President, Supervisor, Therapist
- Phone
- (949) 484-5008
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407
Mailing address
1821 W Blackhawk Dr
Santa Ana, CA 92704-7122
Phone (714) 478-4607
Other names 4
- Baby Bump Therapy
- Baby Bumps and Brushes
- Couple for Couples Counseling
- Modern Male Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Irvine, CA
- NPI 1578094645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1215666482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 W BLACKHAWK DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047122",
"telephone_number": "714-478-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19712 MACARTHUR BLVD STE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122407",
"telephone_number": "949-484-5008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUENTES MARRIAGE AND FAMILY THERAPY PRACTICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A",
"authorized_official_last_name": "CROW-FUENTES",
"authorized_official_first_name": "CHELSEA",
"authorized_official_title_or_position": "PRESIDENT, SUPERVISOR, THERAPIST",
"authorized_official_telephone_number": "949-484-5008",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT, PMH-C"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baby Bump Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baby Bump Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baby Bumps and Brushes",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Couple for Couples Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Modern Male Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.