Individual provider Active NPI

Fanay Loiselle, LMFT

  • Marriage & Family Therapist
  • Placentia, CA
National Provider Identifier
1740708163
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT41829 Issued in CA
Practice address
601 E Yorba Linda Blvd Ste 2
Placentia, CA 92870-3006
Phone
(657) 234-3945
Fax
(714) 777-7918
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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 41829 CA
Marriage & Family Therapist 106H00000X LMFT41829 CA Primary

Addresses

Primary practice location

601 E Yorba Linda Blvd Ste 2
Placentia, CA 92870-3006

Mailing address

601 E Yorba Linda Blvd Ste 2
Placentia, CA 92870-3006
Phone (657) 234-3945

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

LicenseStateTypeSpecialty
LMFT41829CAMDMarriage & Family Therapist
41829CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Solutions Family Therapy, Inc. Current Accepting new patients
Octave Behavioral Health PC Past Accepting new patients

Locations

601 E Yorba Linda Blvd
Ste 2
Placentia, CA 92870
Phone (657) 234-3945

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1740708163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD STE 2",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "657-234-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD STE 2",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "657-234-3945",
            "fax_number": "714-777-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOISELLE",
        "first_name": "FANAY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41829",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT41829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.