Active NPI
Lisa Maddox, LMFT, LPCC
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1346677176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 49130
- Practice address
- 1107 E Chapman Ave
Suite 100
Orange, CA 92866-2101 - Phone
- (714) 348-8161
- NPI assigned
- Oct 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 187 | CA | |
| Marriage & Family Therapist | 106H00000X | 49130 | CA | Primary |
Addresses
Primary practice location
1107 E Chapman Ave
Suite 100
Orange, CA 92866-2101
Mailing address
PO Box 2973
Orange, CA 92859-0973
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
| License | State | Type | Specialty |
|---|---|---|---|
| 49130 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1346677176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2973",
"city": "ORANGE",
"state": "CA",
"postal_code": "928590973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 E CHAPMAN AVE",
"address_2": "SUITE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662101",
"telephone_number": "714-348-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "LISA",
"credential": "LMFT, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-11",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "187",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "49130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.