Active NPI
Nancy Colenbaugh, MFT
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1396965729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC41638
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC41638 | CA | MD | Marriage & Family Therapist |
| 41638 | CA | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.