Individual provider Active NPI

Cecilia B Addams, LMFT

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1407074008
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 45251 Issued in CA
Practice address
23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653-7905
Phone
(949) 463-5323
Fax
(949) 460-5322
NPI assigned
Apr 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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 MFC 45251 CA Primary

Addresses

Primary practice location

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653-7905

Mailing address

23201 Mill Creek Dr
Suite 220
Laguna Hills, CA 92653-7905
Phone (949) 463-5323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620000294 CA Practitioner - Marriage and Family Therapist 1355884230 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 45251CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Directions, Inc. CurrentSince Apr 21, 2024 Accepting new patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc PastSince Dec 25, 2018 Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

1100 Melody Ln
Ste 108
Roseville, CA 95678

232 W Main St
Ste 101
Tustin, CA 92780
Phone (714) 478-9431

Organizations & group practices 3

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": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1407074008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23201 MILL CREEK DR",
            "address_2": "SUITE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537905",
            "telephone_number": "949-463-5323",
            "fax_number": "949-460-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23201 MILL CREEK DR",
            "address_2": "STE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537905",
            "telephone_number": "949-463-5323",
            "fax_number": "949-460-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDAMS",
        "first_name": "CECILIA",
        "middle_name": "B",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.