Individual provider Active NPI

Cryssa Byers Andersen, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1407242704
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102238 Issued in CA
Practice address
3714 S Parton St
Santa Ana, CA 92707-4831
Phone
(714) 824-9896
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 102238 CA Primary

Addresses

Primary practice location

3714 S Parton St
Santa Ana, CA 92707-4831

Mailing address

160 E 21St St
Apt E
Costa Mesa, CA 92627-2183
Phone (949) 433-9742

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 8, 2024 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102238CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cryssa Andersen Marriage and Family Therapist, Inc. CurrentSince Nov 9, 2025 Accepting new patients
Monte Cristo Recovery PastSince Jun 25, 2023 Accepting new patients

Locations

2900 Bristol St
Ste G201
Costa Mesa, CA 92626
Phone (714) 457-5767

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1407242704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 21ST ST",
            "address_2": "APT E",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272183",
            "telephone_number": "949-433-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 S PARTON ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927074831",
            "telephone_number": "714-824-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "CRYSSA",
        "middle_name": "BYERS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.