Individual provider Active NPI

Stephanie Leann Sorensen

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1407269855
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT143358 Issued in CA
Practice address
154 N Deerwood St
Orange, CA 92869-4579
Phone
(714) 747-8026
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT92217 CA
Marriage & Family Therapist 106H00000X LMFT143358 CA Primary

Addresses

Primary practice location

154 N Deerwood St
Orange, CA 92869-4579

Mailing address

154 N Deerwood St
Orange, CA 92869-4579
Phone (714) 747-8026

Other practice location 1

711 E Ball Rd Ste 201
Anaheim, CA 92805-5925
Phone (714) 254-8473

Other practice location 2

2050 Youth Way
Fullerton, CA 92835-3819
Phone (714) 871-9264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT92217CAMDMarriage & Family Therapist
LMFT143358CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1407269855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 N DEERWOOD ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694579",
            "telephone_number": "714-747-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 N DEERWOOD ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694579",
            "telephone_number": "714-747-8026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 E Ball Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055925",
            "country_code": "US",
            "telephone_number": "714-254-8473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Youth Way",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353819",
            "country_code": "US",
            "telephone_number": "714-871-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "STEPHANIE",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT92217",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT143358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.