Active NPI
Lisa M. Stanton, LMFT
- Marriage & Family Therapist
- Costa Mesa, CA
National Provider Identifier
1326072794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 42379
- Practice address
- 950 S Coast Dr Ste 204
Costa Mesa, CA 92626-1778 - Phone
- (714) 925-1060
- Fax
- (714) 769-6363
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 42379 | CA | Primary |
Addresses
Primary practice location
950 S Coast Dr Ste 204
Costa Mesa, CA 92626-1778
Mailing address
950 S Coast Dr Ste 204
Costa Mesa, CA 92626-1778
Phone (714) 916-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42379 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1326072794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S COAST DR STE 204",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261778",
"telephone_number": "714-916-2111",
"fax_number": "147-769-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S COAST DR STE 204",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261778",
"telephone_number": "714-925-1060",
"fax_number": "714-769-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "LISA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "42379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
- Stanley Robert Stanbridge, D.C.
- Standup for Kids
- Yola Stanley, M.S., OTR/L
- Stanton Chiropractic, Inc. (Lifeline Chiropractic)
- Brian James Stanton, D.C.
- Zaria Stanton
- Kristi Lynn Starkey, LMFT
- Kayla Marissa Stasik, CMT
- State of California - Department of Developmental Services (Fairview Developmental Center)
- State of Mind Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.