Chelsea Crow-Fuentes, LMFT, PMH-C

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119059 Issued in CA

Practice address

19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407

Phone

(949) 484-5008

NPI assigned

Mar 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chelsea Crow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fuentes Marriage and Family Therapy Practices, Inc.

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1215666482
  NPD Authorized official

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1578094645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 W BLACKHAWK DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047122",
            "telephone_number": "949-484-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "949-484-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW-FUENTES",
        "first_name": "CHELSEA",
        "credential": "LMFT, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "PSI5663",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "CROW",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roseli Croopnick, M. ED., BCBA
• Sophia Elizabeth Crosbie
• Sharon Crosby, MFT
• Annette Louise Crotty, SPEECH LANGUAGE PATH
• Jasmine Kristy Crouzet
• Dejaron Crow
• Robert Wade Crow, MD
• Hannah Renee Crowe, NP
• Christin Link Crowley
• Dana Crucil, BCBA

• Marriage & Family Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.