NPIMap

Organization Active NPI

Marriage & Family Therapy With Asal Larry and Associates Inc

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1346986528
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MARRIAGE & FAMILY THERAPY WITH ASAL LARRY AND ASSOCIATES INC
Practice address
1600 Dove St Ste 335
Newport Beach, CA 92660-1433
Phone
(949) 395-8246
Fax
(760) 859-3877
NPI assigned
May 10, 2022
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Asal Larry, LMFTNPI 1083958912
Title
Owner
Phone
(949) 395-8246

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1600 Dove St Ste 335
Newport Beach, CA 92660-1433

Mailing address

28241 Crown Valley Pkwy # F306
Laguna Niguel, CA 92677-4441
Phone (949) 395-8246

Other practice location 1

4701 Von Karman Ave Ste 330
Newport Beach, CA 92660-8136
Phone (949) 395-8246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240215004274 CA Part B Supplier - Clinic/Group Practice 1951745116 Receives reassigned benefits from 2 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

28241 Crown Valley Pkwy
#F306
Laguna Niguel, CA 92677
Phone (949) 395-8246

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1346986528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKWY # F306",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774441",
            "telephone_number": "949-395-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST STE 335",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601433",
            "telephone_number": "949-395-8246",
            "fax_number": "760-859-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Von Karman Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926608136",
            "country_code": "US",
            "telephone_number": "949-395-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY THERAPY WITH ASAL LARRY AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "LARRY",
        "authorized_official_first_name": "ASAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-395-8246",
        "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 Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.