Individual provider Active NPI

Huda Makram Bayaa, LMFT, LPCC

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1366989493
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
118301 Issued in CA
Practice address
12821 Newport Ave
Tustin, CA 92780-2711
Phone
(949) 214-4818
NPI assigned
Jan 27, 2017
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 118301 CA Primary

Addresses

Primary practice location

12821 Newport Ave
Tustin, CA 92780-2711

Mailing address

12821 Newport Ave
Tustin, CA 92780-2711
Phone (949) 214-4818

Other practice location 1

4000 W Metropolitan Dr
Orange, CA 92868-3504
Phone (949) 214-4818

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
118301CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1366989493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12821 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802711",
            "telephone_number": "949-214-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802711",
            "telephone_number": "949-214-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 W Metropolitan Dr",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683504",
            "country_code": "US",
            "telephone_number": "949-214-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYAA",
        "first_name": "HUDA",
        "middle_name": "MAKRAM",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.