Individual provider Active NPI

Lynda Green-Alter, MFT

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1407845365
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT32950 Issued in CA
Practice address
4 Venture Ste 230
Irvine, CA 92618-7375
Phone
(949) 453-9600
Fax
(949) 453-9601
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 LMFT32950 CA Primary

Addresses

Primary practice location

4 Venture Ste 230
Irvine, CA 92618-7375

Mailing address

4 Venture Ste 230
Irvine, CA 92618-7375
Phone (949) 453-9600

Other names 1

  • Lynda Dee Green Professional name

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
I20241111001057 CA Practitioner - Marriage and Family Therapist 6507390762 Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Venture
Suite 230
Irvine, CA 92618-3338

4 Venture
Suite 230
Irvine, CA 92618-7375
Phone (949) 453-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT32950CAMDMarriage & Family Therapist
32950CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1407845365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VENTURE STE 230",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187375",
            "telephone_number": "949-453-9600",
            "fax_number": "949-453-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VENTURE STE 230",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187375",
            "telephone_number": "949-453-9600",
            "fax_number": "949-453-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-ALTER",
        "first_name": "LYNDA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT32950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "GREEN",
            "middle_name": "DEE",
            "credential": "MARRIAGE & FAMILY TH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.