Individual provider Active NPI

Jeffrey Allen Mitschang, LMFT

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1326292723
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 49019 Issued in CA
Practice address
24977 Washington Ave
Suite K
Murrieta, CA 92562-9755
Phone
(951) 677-1470
NPI assigned
Nov 11, 2008
Last updated
May 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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 MFC 49019 CA Primary

Addresses

Primary practice location

24977 Washington Ave
Suite K
Murrieta, CA 92562-9755

Mailing address

24977 Washington Ave
Suite K
Murrieta, CA 92562-9755
Phone (951) 677-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260601003928 CA Practitioner - Marriage and Family Therapist 0547730434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 49019CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Family Counseling Center, Inc. Past Accepting new patients
Aurora Family Counseling Center Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1326292723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24977 WASHINGTON AVE",
            "address_2": "SUITE K",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629755",
            "telephone_number": "951-677-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24977 WASHINGTON AVE",
            "address_2": "SUITE K",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629755",
            "telephone_number": "951-677-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSCHANG",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 49019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.