Individual provider Active NPI

Cynthia Serrano

  • Marriage & Family Therapist
  • Fullerton, CA
National Provider Identifier
1649424086
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT152537 Issued in CA
Practice address
1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205
Phone
(714) 254-8473
Fax
(714) 254-8480
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT136609 CA
Marriage & Family Therapist 106H00000X LMFT152537 CA Primary

Addresses

Primary practice location

1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205

Mailing address

1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205
Phone (714) 254-8473

Other practice location 1

711 E Ball Rd
Anaheim, CA 92805-5930
Phone (714) 254-8473

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

State licenses

LicenseStateTypeSpecialty
AMFT136609CAMDMarriage & Family Therapist
LMFT152537CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Services LLC CurrentSince Apr 21, 2024 Accepting new patients
Clarvida PastSince Apr 9, 2024 Accepting new patients
Olive Crest PastSince Jun 2, 2014 Accepting new patients

Locations

1501 E Orangethorpe Ave
Ste 200
Fullerton, CA 92831
Phone (714) 254-8473

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1649424086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E ORANGETHORPE AVE STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315205",
            "telephone_number": "714-254-8473",
            "fax_number": "714-254-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E ORANGETHORPE AVE STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315205",
            "telephone_number": "714-254-8473",
            "fax_number": "714-254-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 E Ball Rd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055930",
            "country_code": "US",
            "telephone_number": "714-254-8473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT136609",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT152537",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 14, 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.