Individual provider Active NPI

Laura Elizabeth Webb

  • Marriage & Family Therapist
  • Garden Grove, CA
National Provider Identifier
1366876682
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111862 Issued in CA
Practice address
12966 Euclid St Ste 280
Garden Grove, CA 92840-9202
Phone
(805) 796-7935
NPI assigned
Aug 22, 2013
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 111862 CA Primary

Addresses

Primary practice location

12966 Euclid St Ste 280
Garden Grove, CA 92840-9202

Mailing address

12966 Euclid St Ste 280
Garden Grove, CA 92840-9202
Phone (805) 796-7935

Other practice location 1

473 West Vermont Avenue
Suite 101
Escondido, CA 92025-7040
Phone (760) 480-2255

Other practice location 2

5150 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804-3394
Phone (562) 490-7653 ext. 653

Other practice location 3

233 S Quintana Dr
Anaheim, CA 92807-4029
Phone (805) 796-7935

Other practice location 4

940 S Coast Dr Ste 260
Costa Mesa, CA 92626-7719
Phone (949) 524-4329

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

LicenseStateTypeSpecialty
111862CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Childnet Youth and Family Services Inc Past Accepting new patients
Allyson Wells MD Inc PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 2

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1366876682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 280",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409202",
            "telephone_number": "805-796-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 280",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409202",
            "telephone_number": "805-796-7935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "473 West Vermont Avenue",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920257040",
            "country_code": "US",
            "telephone_number": "760-480-2255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5150 E Pacific Coast Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908043394",
            "country_code": "US",
            "telephone_number": "562-490-7653 x653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 S Quintana Dr",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928074029",
            "country_code": "US",
            "telephone_number": "805-796-7935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 S Coast Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926267719",
            "country_code": "US",
            "telephone_number": "949-524-4329",
            "fax_number": "949-524-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.