Vine Marriage & Family Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

VINE MARRIAGE & FAMILY THERAPY INC

Practice address

265 S Randolph Ave Ste 185
Brea, CA 92821-5702

Phone

(657) 377-5522

NPI assigned

Mar 5, 2025

Last updated

Mar 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eui KimNPI 1528480332

Title

Marriage & Family Therapist

Phone

(812) 994-0046

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eui Jean Kim

  • Marriage & Family Therapist
  • Buena Park, CA
  • NPI 1528480332
  NPD Authorized official
• Priscilla S Lee

  • Marriage & Family Therapist
  • Brea, CA
  • NPI 1467300962
  NPD (past)

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1619775681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 CROMWELL DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072852",
            "telephone_number": "657-377-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S RANDOLPH AVE STE 185",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215702",
            "telephone_number": "657-377-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE MARRIAGE & FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUI",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "812-994-0046"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aida Silva Viveros, MARRIAGE FAMILY THER

• Marriage & Family Therapist in Brea, CA
• Providers in Brea, 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 Mar 5, 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.