Organization Active NPI

Serenity Journey LLC

  • Marriage & Family Therapist
  • Anaheim, CA
National Provider Identifier
1225635501
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SERENITY JOURNEY LLC
Practice address
155 N Riverview Dr Ste 112
Anaheim, CA 92808-1225
Phone
(714) 422-5773
Fax
(714) 202-9870
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ixchel Tellez Fonseca, PSY.D, LMFT, CATC-IV
Title
Licensed Marriage Family Therapist
Phone
(714) 422-5773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

155 N Riverview Dr Ste 112
Anaheim, CA 92808-1225

Mailing address

155 N Riverview Dr Ste 112
Anaheim, CA 92808-1225
Phone (714) 422-5773

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1225635501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N RIVERVIEW DR STE 112",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081225",
            "telephone_number": "714-422-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N RIVERVIEW DR STE 112",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081225",
            "telephone_number": "714-422-5773",
            "fax_number": "714-202-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "IXCHEL",
        "authorized_official_middle_name": "TELLEZ",
        "authorized_official_title_or_position": "LICENSED MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "714-422-5773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY.D, LMFT, CATC-IV"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.