Individual provider Active NPI

Alexandra Concepcion, LMFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1407217953
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121874 Issued in CA
Practice address
13681 Newport Ave Ste 8-329
Tustin, CA 92780-4689
Phone
(714) 586-8262
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 121874 CA Primary

Addresses

Primary practice location

13681 Newport Ave Ste 8-329
Tustin, CA 92780-4689

Mailing address

13681 Newport Ave Ste 8-329
Tustin, CA 92780-4689
Phone (714) 586-8262

Other identifiers 1

IdentifierTypeStateIssuer
121874OtherCALMFT

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
I20240214003268 CA Practitioner - Marriage and Family Therapist 4183079676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
University of California, Irvine, California College of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
AIDS Services Foundation Orange CountyGroup PAC ID 0547495178, 3 clinicians

Practice addresses (Care Compare)

17982 Sky Park Cir
Suite J
Irvine, CA 92614-6482
Phone (949) 809-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101939CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Services Foundation Orange County CurrentSince Jan 1, 2024 Accepting new patients
College Community Services Past Accepting new patients
St Jude Hospital Inc PastSince Jan 1, 2024 Accepting new patients

Locations

17982 Sky Park Cir
Ste J
Irvine, CA 92614
Phone (949) 809-5700

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": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1407217953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 NEWPORT AVE STE 8-329",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804689",
            "telephone_number": "714-586-8262",
            "fax_number": "714-586-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 NEWPORT AVE STE 8-329",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804689",
            "telephone_number": "714-586-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "ALEXANDRA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "121874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.