Individual provider Active NPI

Vivianna Louise Nieto-Foust, LMFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1265850028
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
24059 Issued in CA
Practice address
250 El Camino Real Ste 213
Tustin, CA 92780-3656
Phone
(714) 823-8330
NPI assigned
Mar 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 24059 CA Primary

Addresses

Primary practice location

250 El Camino Real Ste 213
Tustin, CA 92780-3656

Mailing address

2201 N Grand Ave
10433
Santa Ana, CA 92711-9998
Phone (714) 823-8330

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

LicenseStateTypeSpecialty
24059CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael H Foust, PH.D. CurrentSince Apr 1, 1993 Accepting new patients

Locations

540 N Golden Circle Dr
Ste 211
Santa Ana, CA 92705
Phone (714) 834-9222

2201 N Grand Ave
Unit 10433
Santa Ana, CA 92711
Phone (714) 834-9222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1265850028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N GRAND AVE",
            "address_2": "10433",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927119998",
            "telephone_number": "714-823-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL STE 213",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803656",
            "telephone_number": "714-823-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO-FOUST",
        "first_name": "VIVIANNA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "24059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.