Individual provider Active NPI

Gena Marie Richcreek, MFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1689697690
Registry record updated Mar 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 39162 Issued in CA
Practice address
1633 E 4TH St Ste 120
Santa Ana, CA 92701-5143
Phone
(714) 955-3149
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2018

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 MFC 39162 CA Primary

Addresses

Primary practice location

1633 E 4TH St Ste 120
Santa Ana, CA 92701-5143

Mailing address

13182 Sussex PL
Santa Ana, CA 92705-2150
Phone (714) 955-3149

Other practice location 1

18350 Mount Langley St
Fountain Valley, CA 92708-6900
Phone (714) 378-2620

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
MFC 39162CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521849600000",
    "number": "1689697690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13182 SUSSEX PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052150",
            "telephone_number": "714-955-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E 4TH ST STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015143",
            "telephone_number": "714-955-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18350 Mount Langley St",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086900",
            "country_code": "US",
            "telephone_number": "714-378-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHCREEK",
        "first_name": "GENA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 39162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; 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.