Individual provider Active NPI

Nancy Colenbaugh, MFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1396965729
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC41638 Issued in CA
Practice address
3501 Jamboree Rd Ste 470
Newport Beach, CA 92660-2916
Phone
(949) 294-9593
Fax
(949) 720-1168
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 MFC41638 CA Primary

Addresses

Primary practice location

3501 Jamboree Rd Ste 470
Newport Beach, CA 92660-2916

Mailing address

706 Marguerite Ave
Corona del Mar, CA 92625-2342
Phone (949) 294-9593

Other practice location 1

1151 Dove Street,
Suite 150
Corona del MAr, CA 92660
Phone (949) 250-9194 ext. 4

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, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC41638CAMDMarriage & Family Therapist
41638CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1396965729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 MARGUERITE AVE",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252342",
            "telephone_number": "949-294-9593",
            "fax_number": "949-720-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 470",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602916",
            "telephone_number": "949-294-9593",
            "fax_number": "949-720-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Dove Street,",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Corona del MAr",
            "state": "CA",
            "postal_code": "92660",
            "country_code": "US",
            "telephone_number": "949-250-9194 x4",
            "fax_number": "949-250-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLENBAUGH",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.