Active NPI
Juan David Acevedo, MFT
- Marriage & Family Therapist
- Aliso Viejo, CA
National Provider Identifier
1689710436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48933
- Practice address
- 85 Whippoorwill LN
Aliso Viejo, CA 92656-1830 - Phone
- (949) 322-4546
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 48933 | CA | Primary |
Addresses
Primary practice location
85 Whippoorwill LN
Aliso Viejo, CA 92656-1830
Mailing address
85 Whippoorwill LN
Aliso Viejo, CA 92656-1830
Phone (949) 322-4546
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48933 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Heals Holistic Counseling Center | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Laguna Hills, CA
- NPI 1912377102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689710436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 WHIPPOORWILL LN",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561830",
"telephone_number": "949-322-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WHIPPOORWILL LN",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561830",
"telephone_number": "949-322-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "JUAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aliso Viejo, CA
- Shirin Abbasi
- Chad Michael Abbott, MD
- Parastou Abedi, MD
- Shahla Abedi, MD
- Maria Elena Abello, D.M.D.
- Maria Isabel Acherman
- Adam T Clark DDS Dental Corporation
- Rachel Ariella Adler, BCBA
- Advanced OB/GYN & Infertility Medical Group Inc (Advanced OB/GYN Medical Group)
- Advanced Surgical and Medical Institute Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.