Active NPI
Abundant Life, Center for MFT Clinical Development, Inc
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1336019355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- ABUNDANT LIFE, CENTER FOR MFT CLINICAL DEVELOPMENT, INC
- Practice address
- 1633 E 4TH St Ste 184
Santa Ana, CA 92701-5143 - Phone
- (714) 699-3367
- NPI assigned
- Nov 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathleen Gabriela Shanahan, LMFT
- Title
- Ceo/Clinical Supervisor
- Phone
- (714) 699-3367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1633 E 4TH St Ste 184
Santa Ana, CA 92701-5143
Mailing address
1633 E 4TH St Ste 184
Santa Ana, CA 92701-5143
Phone (714) 699-3367
National Provider Directory
National Provider DirectoryLocations
1633 E 4th St
Ste 184
Santa Ana, CA 92701
Phone (714) 453-4402
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Santa Ana, CA
- NPI 1629532221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1336019355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 E 4TH ST STE 184",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015143",
"telephone_number": "714-699-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 E 4TH ST STE 184",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015143",
"telephone_number": "714-699-3367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT LIFE, CENTER FOR MFT CLINICAL DEVELOPMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "SHANAHAN",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "GABRIELA",
"authorized_official_title_or_position": "CEO/CLINICAL SUPERVISOR",
"authorized_official_telephone_number": "714-699-3367",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.