Active NPI
Cynthia A. Cole-Larsen, M.S., MFT
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1851548663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 39103
- Practice address
- 17662 Irvine Blvd Ste 23
Tustin, CA 92780-3133 - Phone
- (714) 612-2783
- NPI assigned
- Aug 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 39103 | CA | Primary |
Addresses
Primary practice location
17662 Irvine Blvd Ste 23
Tustin, CA 92780-3133
Mailing address
5444 E Snow Wood Cir
Unit D
Anaheim, CA 92807-1313
Phone (714) 612-2783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 39103 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1851548663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5444 E SNOW WOOD CIR",
"address_2": "UNIT D",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928071313",
"telephone_number": "714-612-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17662 IRVINE BLVD STE 23",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803133",
"telephone_number": "714-612-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE-LARSEN",
"first_name": "CYNTHIA",
"middle_name": "A.",
"credential": "M.S., MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 39103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.