Active NPI
Charles E Coull, LMFT, PSY.D.
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1376754549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC19977
- Practice address
- 734 E Chapman Ave
Orange, CA 92866-1621 - Phone
- (714) 598-8123
- Fax
- (949) 387-1830
- NPI assigned
- May 26, 2007
- Last updated
- Aug 21, 2026
- Sex
- Male
- 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 | MFC19977 | CA | Primary |
Addresses
Primary practice location
734 E Chapman Ave
Orange, CA 92866-1621
Mailing address
PO Box 1174
Tustin, CA 92781-1174
Phone (714) 598-8123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC19977 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1376754549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1174",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927811174",
"telephone_number": "714-598-8123",
"fax_number": "949-387-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661621",
"telephone_number": "714-598-8123",
"fax_number": "949-387-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULL",
"first_name": "CHARLES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "LMFT, PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-26",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC19977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
- La Ron Whaylon Cotton, DDS
- Teniece Koshranae Cotton
- Cottonwood Psychology Center, Inc.
- Lauren Couch
- Cough Center Inc
- Micah Jesse Coulter
- County of Orange (AMHS CAT Orange)
- County of Orange (AMHS Collaborative Court)
- County of Orange (CHS Juvenile Health Services)
- County of Orange (CYS Clinical Evaluation & Guidance Unit OCFC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.