Organization Active NPI

Charee Marquez LMFT, Professional Corporation

  • Substance Abuse Rehabilitation Facility
  • Fountain Valley, CA
National Provider Identifier
1689219818
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CHAREE MARQUEZ LMFT, PROFESSIONAL CORPORATION
Practice address
17330 Newhope St Ste a
Fountain Valley, CA 92708-4225
Phone
(646) 510-3358
NPI assigned
Nov 12, 2019
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Charee Nicole Marquez
Title
President
Phone
(626) 437-6127

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

17330 Newhope St Ste a
Fountain Valley, CA 92708-4225

Mailing address

17330 Newhope St Ste a
Fountain Valley, CA 92708-4225
Phone (646) 510-3358

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1689219818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 NEWHOPE ST STE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084225",
            "telephone_number": "646-510-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 NEWHOPE ST STE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084225",
            "telephone_number": "646-510-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAREE MARQUEZ LMFT, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "CHAREE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-437-6127"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.