Active NPI
Mark Fieldson, M.F.T.
- Marriage & Family Therapist
- Los Alamitos, CA
National Provider Identifier
1225196454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC25467
- Practice address
- 4132 Katella Ave
104
Los Alamitos, CA 90720-3426 - Phone
- (562) 754-3005
- Fax
- (562) 598-5997
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC25467 | CA | Primary |
Addresses
Primary practice location
4132 Katella Ave
104
Los Alamitos, CA 90720-3426
Mailing address
12875 Martha Ann Dr
Los Alamitos, CA 90720-4923
Phone (562) 754-3005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC25467 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Counseling Group | Marriage & Family Therapist | Past | Accepting new patients |
| Grace Counseling Group | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Los Alamitos, CA
- NPI 1245411461
-
- Community/Behavioral Health Agency
- Los Alamitos, CA
- NPI 1578947594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225196454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12875 MARTHA ANN DR",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907204923",
"telephone_number": "562-754-3005",
"fax_number": "562-598-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 KATELLA AVE",
"address_2": "104",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203426",
"telephone_number": "562-754-3005",
"fax_number": "562-598-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDSON",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC25467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
- Sasha Vukcevich Faynor
- Fe Surgery Center Inc.
- Feiwell Medical Evaluations
- Lawrence Allen Feiwell, M.D.
- Shelby Quinn Feldmeier, AGACNP-BC
- Brian Fifer, PTA
- Find Flourishing Individual and Family Therapy Inc. (Find Flourishing)
- Find Flourishing Individual and Family Therapy Inc.
- Shannon Fiorica
- Venus Firouzehee, PHARM. D. /MBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.