Individual provider Active NPI

Keren Cabrera

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1679122667
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121446 Issued in CA
Practice address
4701 Von Karman Ave Ste 331
Newport Beach, CA 92660-8150
Phone
(323) 896-9794
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 121446 CA Primary

Addresses

Primary practice location

4701 Von Karman Ave Ste 331
Newport Beach, CA 92660-8150

Mailing address

4701 Von Karman Ave Ste 331
Newport Beach, CA 92660-8150
Phone (323) 896-9794

Other practice location 1

11303 Wilshire Blvd
Los Angeles, CA 90025-5069
Phone (310) 914-4045

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
121446CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florece Family Services Inc CurrentSince Oct 29, 2023 Accepting new patients
Nancy Paloma Collins Licensed Marriage and Family Therapist Inc. Marriage & Family Therapist CurrentSince Sep 13, 2020 Accepting new patients
New Direction Inc PastSince Sep 1, 2019 Accepting new patients

Locations

4701 Von Karman Ave
Ste 331
Newport Beach, CA 92660
Phone (323) 896-9794

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1679122667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 VON KARMAN AVE STE 331",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608150",
            "telephone_number": "323-896-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 VON KARMAN AVE STE 331",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608150",
            "telephone_number": "323-896-9794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11303 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900255069",
            "country_code": "US",
            "telephone_number": "310-914-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "KEREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.