Individual provider Active NPI

Patricia Anita Lee, MFT

  • Mental Health Counselor
  • San Juan Capistrano, CA
National Provider Identifier
1306867965
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT39362 Issued in CA
Practice address
27322 Calle Arroyo Ste B
San Juan Capistrano, CA 92675-6761
Phone
(949) 246-2781
Fax
(949) 489-9064
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT39362 CA Primary

Addresses

Primary practice location

27322 Calle Arroyo Ste B
San Juan Capistrano, CA 92675-6761

Mailing address

34021 Calle de Bonanza
San Juan Capistrano, CA 92675-5026
Phone (949) 493-0931

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
MFT39362CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1306867965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34021 CALLE DE BONANZA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755026",
            "telephone_number": "949-493-0931",
            "fax_number": "949-489-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27322 CALLE ARROYO STE B",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756761",
            "telephone_number": "949-246-2781",
            "fax_number": "949-489-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PATRICIA",
        "middle_name": "ANITA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT39362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.