Individual provider Active NPI

Regina Lea Cline, MFT

  • Marriage & Family Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1790441574
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93989 Issued in CA
Practice address
31371 Rancho Viejo Rd Ste 203
San Juan Capistrano, CA 92675-1849
Phone
(949) 294-0356
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 93989 CA Primary

Addresses

Primary practice location

31371 Rancho Viejo Rd Ste 203
San Juan Capistrano, CA 92675-1849

Mailing address

28242 Paseo Corrales
San Juan Capistrano, CA 92675-3316
Phone (949) 294-0356

Other names 1

  • Gina Lea Cline Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 2, 2025 through Oct 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1790441574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28242 PASEO CORRALES",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753316",
            "telephone_number": "949-294-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31371 RANCHO VIEJO RD STE 203",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751849",
            "telephone_number": "949-294-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "REGINA",
        "middle_name": "LEA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-01-24",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "CLINE",
            "middle_name": "LEA",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.