Organization Active NPI

Marysa V. Garcia Licensed Clinical Social Worker Apc

  • Adult Mental Health Clinic/Center
  • Fullerton, CA
National Provider Identifier
1801747910
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MARYSA V. GARCIA LICENSED CLINICAL SOCIAL WORKER APC
Doing business as
Mirror, Mirror Therapy
Practice address
1440 N Harbor Blvd # 839a
Fullerton, CA 92835-4127
Phone
(714) 202-6071
NPI assigned
Feb 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Marysa Victoria Garcia, LCSWNPI 1487056495
Title
Ceo
Phone
(714) 202-6071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1440 N Harbor Blvd # 839a
Fullerton, CA 92835-4127

Mailing address

PO Box 411
Orange, CA 92856-6411
Phone (714) 202-6071

Other names 1

  • Mirror, Mirror Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1440 N Harbor Blvd
#839A
Fullerton, CA 92835
Phone (714) 202-6071

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1801747910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928566411",
            "telephone_number": "714-202-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD # 839A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "714-202-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSA V. GARCIA LICENSED CLINICAL SOCIAL WORKER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARYSA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-202-6071",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirror, Mirror Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.