Active NPI
Marysa V. Garcia Licensed Clinical Social Worker Apc
- Adult Mental Health Clinic/Center
- Fullerton, CA
National Provider Identifier
1801747910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marysa Victoria Garcia, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Pomona, CA
- NPI 1487056495
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.