Individual provider Active NPI

Patricia Eirich

  • Mental Health Counselor
  • Garden Grove, CA
National Provider Identifier
1831430784
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12966 Euclid St
Suite 280
Garden Grove, CA 92840-5200
Phone
(714) 823-4770
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12966 Euclid St
Suite 280
Garden Grove, CA 92840-5200

Mailing address

2111 Calavera Cir
Tustin, CA 92782-8604
Phone (714) 669-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729001953 CA Practitioner - Marriage and Family Therapist 2769928506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soultenders IncGroup PAC ID 6507170453, 113 clinicians

Practice addresses (Care Compare)

151 N Kraemer Blvd
Suite 100
Placentia, CA 92870-5042
Phone (714) 874-3728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103554CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders, Inc. Mental Health CurrentSince Jul 15, 2024 Accepting new patients
Soultenders Psychological Services, Inc. PastSince Jul 1, 2026 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

19112 Gridley Rd
Ste 104
Cerritos, CA 90703
Phone (562) 222-5258

151 N Kraemer Blvd
Ste 100
Placentia, CA 92870
Phone (714) 577-2271

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": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1831430784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 CALAVERA CIR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828604",
            "telephone_number": "714-669-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST",
            "address_2": "SUITE 280",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405200",
            "telephone_number": "714-823-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIRICH",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.