Active NPI
Marilyn J Fillipp, LMFT
- Professional Counselor
- Brea, CA
National Provider Identifier
1740422070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MFC 41021
- Practice address
- 1179 Timbergate LN
Brea, CA 92821-6666 - Phone
- (714) 403-7207
- NPI assigned
- Apr 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MFC 41021 | CA | Primary |
Addresses
Primary practice location
1179 Timbergate LN
Brea, CA 92821-6666
Mailing address
1179 Timbergate LN
Brea, CA 92821-6666
Phone (714) 403-7207
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 |
|---|---|---|---|
| MFC 41021 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1740422070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 TIMBERGATE LN",
"city": "BREA",
"state": "CA",
"postal_code": "928216666",
"telephone_number": "714-403-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 TIMBERGATE LN",
"city": "BREA",
"state": "CA",
"postal_code": "928216666",
"telephone_number": "714-403-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLIPP",
"first_name": "MARILYN",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "MFC 41021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.