Individual provider Active NPI

Wendy Chavez Ledezma

  • Marriage & Family Therapist
  • Anaheim, CA
National Provider Identifier
1578079794
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135407 Issued in CA
Practice address
222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756
Phone
(714) 871-5646
Fax
(714) 817-7368
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 135407 CA Primary

Addresses

Primary practice location

222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756

Mailing address

222 S Harbor Blvd Ste 650
Anaheim, CA 92805-3756
Phone (714) 871-5646

Other practice location 1

131 W Midway Dr
Anaheim, CA 92805-6507
Phone (714) 517-7107

Other practice location 2

505 N Euclid St Ste 300
Anaheim, CA 92801-5514
Phone (714) 871-5646 ext. 4236

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
135407CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Youth Services CurrentSince May 1, 2020 Accepting new patients

Locations

505 N Euclid St
Ste 300
Anaheim, CA 92801
Phone (714) 871-5646

222 S Harbor Blvd
Ste 650
Anaheim, CA 92805
Phone (714) 871-5646

Organizations & group practices 1

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": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1578079794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S HARBOR BLVD STE 650",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053756",
            "telephone_number": "714-871-5646",
            "fax_number": "714-817-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S HARBOR BLVD STE 650",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053756",
            "telephone_number": "714-871-5646",
            "fax_number": "714-817-7368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 W Midway Dr",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928056507",
            "country_code": "US",
            "telephone_number": "714-517-7107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Euclid St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015514",
            "country_code": "US",
            "telephone_number": "714-871-5646 x4236",
            "fax_number": "714-817-7368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDEZMA",
        "first_name": "WENDY",
        "middle_name": "CHAVEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.