Active NPI
Oxana Kireeva, LMFT, APCC
- Marriage & Family Therapist
- Lake Forest, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 142867
- Practice address
- 26325 W Grove Cir
Lake Forest, CA 92630-6571 - Phone
- (949) 742-2373
- NPI assigned
- Mar 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 142867 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
26325 W Grove Cir
Lake Forest, CA 92630-6571
Mailing address
26325 W Grove Cir
Lake Forest, CA 92630-6571
Phone (949) 742-2373
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 N Kraemer Blvd
Suite 100
Placentia, CA 92870-5042
Phone (714) 874-3728
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Mental Health | Current | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
151 N Kraemer Blvd
Ste 100
Placentia, CA 92870
Phone (714) 577-2271
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1710634126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26325 W GROVE CIR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926306571",
"telephone_number": "949-742-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26325 W GROVE CIR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926306571",
"telephone_number": "949-742-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIREEVA",
"first_name": "OXANA",
"credential": "LMFT, APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-05",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "142867",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.