Individual provider Active NPI

Liza Abby Gant

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1235520891
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84806 Issued in CA
Practice address
23441 S Pointe Dr Ste 180
Laguna Hills, CA 92653-1550
Phone
(949) 438-6383
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 84806 CA Primary

Addresses

Primary practice location

23441 S Pointe Dr Ste 180
Laguna Hills, CA 92653-1550

Mailing address

23796 Avenida Columbia
Mission Viejo, CA 92691-3413
Phone (949) 438-6383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 17, 2026 through Mar 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1235520891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23796 AVENIDA COLUMBIA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913413",
            "telephone_number": "949-438-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23441 S POINTE DR STE 180",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531550",
            "telephone_number": "949-438-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "LIZA",
        "middle_name": "ABBY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.