Active NPI
Celeste Maria Robles
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1407520901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT136270
- Practice address
- 1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205 - Phone
- (714) 254-8473
- NPI assigned
- Aug 6, 2021
- 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 | AMFT136270 | CA | Primary |
Addresses
Primary practice location
1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205
Mailing address
1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205
Phone (714) 254-8473
Other practice location 1
711 E Ball Rd Ste 201
Anaheim, CA 92805-5925
Phone (714) 254-8473
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT136270 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Community Services LLC | Current | Accepting new patients | |
| Clarvida | Past | Accepting new patients |
Locations
711 E Ball Rd
Ste 201
Anaheim, CA 92805
Phone (714) 254-8473
1501 E Orangethorpe Ave
Ste 200
Fullerton, CA 92831
Phone (714) 254-8473
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fullerton, CA
- NPI 1881729911
-
- Student in an Organized Health Care Education/Training Program
- Fullerton, CA
- NPI 1750216172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1407520901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E ORANGETHORPE AVE STE 200",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928315205",
"telephone_number": "714-254-8473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E ORANGETHORPE AVE STE 200",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928315205",
"telephone_number": "714-254-8473"
}
],
"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"
}
],
"basic": {
"last_name": "ROBLES",
"first_name": "CELESTE",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT136270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.