Active NPI
Mija Lee
- Professional Counselor
- Fullerton, CA
National Provider Identifier
1639611387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1401 W Valencia Dr
Fullerton, CA 92833-2106 - Phone
- (330) 861-2317
- NPI assigned
- Nov 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1401 W Valencia Dr
Fullerton, CA 92833-2106
Mailing address
2271 W Malvern Ave # 100
Fullerton, CA 92833-2106
Phone (330) 861-2317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC14124 | Other | CA | BBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fullerton Elementary School District | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Fullerton, CA
- NPI 1689892895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1639611387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2271 W MALVERN AVE # 100",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928332106",
"telephone_number": "330-861-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W VALENCIA DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928332106",
"telephone_number": "330-861-2317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MIJA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-11",
"last_updated": "2023-07-31",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "LPCC14124",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.