Kaitlyn Thao Nguyen, MS LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT128803 Issued in CA

Practice address

275 Baker St Ste a
Costa Mesa, CA 92626-4566

Phone

(714) 361-6760

Fax

(714) 361-6779

NPI assigned

Aug 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Korawells Marriage Family Counseling Professional Corporatio

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1346087715
  Medicare reassignment NPD Authorized official
• Soultenders, Inc.

  • Clinical Psychologist
  • Arcadia, CA
  • NPI 1164617007

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1710402649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11312",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851312",
            "telephone_number": "714-890-2563",
            "fax_number": "714-361-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BAKER ST STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264566",
            "telephone_number": "714-361-6760",
            "fax_number": "714-361-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KAITLYN",
        "middle_name": "THAO",
        "credential": "MS LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT128803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene B Nguyen
• James Hung Nguyen, RPH
• John Thai-Huy Nguyen, D.D.S.
• Joseph Nguyen
• Julia Nguyen
• Kathy Nguyen
• Kayla Nguyen
• Keren Nguyen, DDS
• Kevin Nguyen
• Kimberly Nguyen, DO

• Marriage & Family Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.