Active NPI
Jennifer Rose McGivern, LMFT
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1376263889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 163812
- Practice address
- 340 E 1St St Unit 1464
Tustin, CA 92781-2273 - Phone
- (949) 272-8435
- NPI assigned
- Sep 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 163812 | CA | Primary |
Addresses
Primary practice location
340 E 1St St Unit 1464
Tustin, CA 92781-2273
Mailing address
340 E 1St St # 1464
Tustin, CA 92781-2200
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 |
|---|---|---|---|
| 145376 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Current | Accepting new patients |
Locations
505 N Euclid St
Ste 300
Anaheim, CA 92801
Phone (714) 871-5646
222 S Harbor Blvd
Ste 650
Anaheim, CA 92805
Phone (714) 871-5646
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Anaheim, CA
- NPI 1770617987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1376263889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E 1ST ST # 1464",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927812200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E 1ST ST UNIT 1464",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927812273",
"telephone_number": "949-272-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGIVERN",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "163812",
"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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.