Active NPI
Diane Lynn Gipson, M.S., M.F.T.
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1356433395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT24917
- Practice address
- 405 W 5TH St
Ste 600B
Santa Ana, CA 92701-4519 - Phone
- (714) 834-3017
- Fax
- (714) 834-6131
- NPI assigned
- Sep 28, 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 | MFT24917 | CA | Primary |
Addresses
Primary practice location
405 W 5TH St
Ste 600B
Santa Ana, CA 92701-4519
Mailing address
405 5TH St
Suite 600B
Santa Ana, CA 92701
Phone (714) 834-3017
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT24917 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356433395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 5TH ST",
"address_2": "SUITE 600B",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"telephone_number": "714-834-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 5TH ST",
"address_2": "STE 600B",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014519",
"telephone_number": "714-834-3017",
"fax_number": "714-834-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "DIANE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.S., M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT24917",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.