Eileen M Chang, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

149751 Issued in CA

Practice address

23101 Lake Center Dr Ste 335
Lake Forest, CA 92630-6819

Phone

(949) 299-0288

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 11, 2026 through Mar 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2024.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1619280740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 335",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306819",
            "telephone_number": "949-299-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 335",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306819",
            "telephone_number": "949-299-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Chambers
• Champion Health & Wellness Functional Nursing, P.C.
• Gertrude Chancellor, FNP-BC
• Chandra Medina, Marriage and Family Therapy Inc
• Diem Chieu Chang, D.D.S.
• Grace Chang, M.D., PH.D.
• Ku-Juey Raymond Chang, M.D.
• Shirley Chang, DPM
• Charles Shane Daniels MD
• Bianca B Chavez

• All providers in Lake Forest, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.