Individual provider Active NPI

Adriane Nada, LMFT, LPCC

  • Marriage & Family Therapist
  • Dana Point, CA
National Provider Identifier
1639634140
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45548 Issued in CA
Practice address
24632 San Juan Ave Ste 200
Dana Point, CA 92629-3830
Phone
(949) 272-1692
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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 45548 CA Primary

Addresses

Primary practice location

24632 San Juan Ave Ste 200
Dana Point, CA 92629-3830

Mailing address

24632 San Juan Ave Ste 200
Dana Point, CA 92629-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 8, 2024 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45548CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1639634140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24632 SAN JUAN AVE STE 200",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24632 SAN JUAN AVE STE 200",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293830",
            "telephone_number": "949-272-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADA",
        "first_name": "ADRIANE",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.