Desiderata Marriage & Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

DESIDERATA MARRIAGE & FAMILY THERAPY

Practice address

19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407

Phone

(213) 999-6343

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Kim, LMFTNPI 1770960999

Title

Owner

Phone

(213) 999-6343

Specialties & licenses 1

Addresses

Other names 1

• At Peace Therapy Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Kim, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1770960999
  NPD Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1770347346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 SHEDDON ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335659",
            "telephone_number": "213-999-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "213-999-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIDERATA MARRIAGE & FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-999-6343",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Peace Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott A Derkum, MD
• Dermatology and Laser Group of Irvine, a Medical Corporation
• Davoud Derogar
• Harishma Neil Desai, PHARMD
• Shireena Desai, M.D.
• Lucille Desiderio
• Designer Health & Rehab
• Designer Health & Rehab Medical Corp
• Designer Health and Rehab Medical Corporation
• Cecil Trevor Desilva, M.D.

• Marriage & Family Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.