Individual provider Active NPI

Jeffrey Daniel Andrade, LMFT164067

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1689578890
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT164067 Issued in CA
Practice address
27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590
Phone
(949) 291-0038
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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 LMFT164067 CA Primary

Addresses

Primary practice location

27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590

Mailing address

PO Box 2802
Mission Viejo, CA 92690-0802
Phone (949) 436-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1689578890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2802",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926900802",
            "telephone_number": "949-436-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27201 PUERTA REAL STE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918590",
            "telephone_number": "949-291-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LMFT164067",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT164067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.