Individual provider Active NPI

Teri Lyn Joens-White, LMFT

  • Marriage & Family Therapist
  • Yorba Linda, CA
National Provider Identifier
1720128473
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
29792 Issued in CA
Practice address
17451 Bastanchury Rd
Suite 204-19
Yorba Linda, CA 92886-1857
Phone
(714) 520-1938
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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 29792 CA Primary

Addresses

Primary practice location

17451 Bastanchury Rd
Suite 204-19
Yorba Linda, CA 92886-1857

Mailing address

17451 Bastanchury Rd
Suite 204-19
Yorba Linda, CA 92886-1857
Phone (714) 520-1938

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
I20240112003043 CA Practitioner - Marriage and Family Therapist 7214388388 Practice locations: Yorba Linda, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1720128473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17451 BASTANCHURY RD",
            "address_2": "SUITE 204-19",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861857",
            "telephone_number": "714-520-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17451 BASTANCHURY RD",
            "address_2": "SUITE 204-19",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861857",
            "telephone_number": "714-520-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOENS-WHITE",
        "first_name": "TERI",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "29792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.