Organization Active NPI

Fuentes Marriage and Family Therapy Practices, Inc.

Doing business as Baby Bump Therapy

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1215666482
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FUENTES MARRIAGE AND FAMILY THERAPY PRACTICES, INC.
Doing business as
Baby Bump Therapy
Baby Bumps and Brushes
Couple for Couples Counseling1 more in Other names
Practice address
19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407
Phone
(949) 484-5008
NPI assigned
Jun 6, 2022
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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-CNPI 1578094645
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as
  • Baby Bumps and Brushes Doing business as
  • Couple for Couples Counseling Doing business as
  • Modern Male Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.