Individual provider Active NPI

Oxana Kireeva, LMFT, APCC

  • Marriage & Family Therapist
  • Lake Forest, CA
National Provider Identifier
1710634126
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142867 Issued in CA
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

Updated by the provider on Jan 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320002912 CA Practitioner - Marriage and Family Therapist 6305283763 Reassigns benefits to 1 organization

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
Soultenders IncGroup PAC ID 6507170453, 113 clinicians

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

OrganizationSpecialtyStatusNew patients
Soultenders, Inc. Mental Health CurrentSince Feb 6, 2024 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

Verify at the official NPI Registry.