Individual provider Active NPI

Christophe Ngo, LMFT

  • Marriage & Family Therapist
  • Seal Beach, CA
National Provider Identifier
1386116259
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109593 Issued in CA
Practice address
909 Electric Ave Ste 308
Seal Beach, CA 90740-8903
Phone
(657) 206-6048
NPI assigned
Dec 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 123129 CA
Marriage & Family Therapist 106H00000X 109593 CA Primary

Addresses

Primary practice location

909 Electric Ave Ste 308
Seal Beach, CA 90740-8903

Mailing address

11542 Safford W
Garden Grove, CA 92840-5464

Other practice location 1

1207 E Fruit St
Santa Ana, CA 92701-4206
Phone (888) 686-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123129CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beachcat Family Counseling Professional Corporation Mental Health CurrentSince Mar 28, 2021 Accepting new patients

Locations

909 Electric Ave
Ste 308
Seal Beach, CA 90740
Phone (562) 221-0647

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.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1386116259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11542 SAFFORD W",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ELECTRIC AVE STE 308",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907408903",
            "telephone_number": "657-206-6048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 E Fruit St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014206",
            "country_code": "US",
            "telephone_number": "888-686-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "CHRISTOPHE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "123129",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.