Nubia Hennessey, M.A.

Key facts

NPI

1861676587

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

53896 (CA)

Practice address

18302 Irvine Blvd Ste 375
Tustin, CA 92780-3435

Phone

(714) 661-5390

NPI assigned

Dec 18, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• College Community Services Community/Behavioral Health Agency · Anaheim, CA · NPI 1043354624
  Medicare reassignment NPD CA
• Grow Healthcare Group PC Mental Health Counselor · San Jose, CA · NPI 1154994846
  Medicare reassignment NPD CA · MARRIAGE & FAMILY THERAPIST
• College Community Services Community/Behavioral Health Agency · Orange, CA · NPI 1396870549
  NPD
• College Community Services Community/Behavioral Health Agency · Tehachapi, CA · NPI 1831870500
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Arts

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2026.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1861676587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 IRVINE BLVD STE 375",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803435",
            "telephone_number": "714-661-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 IRVINE BLVD STE 375",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803435",
            "telephone_number": "714-661-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "NUBIA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

• Helm Chiropractic Inc.
• Robert Helm, DC
• Hanan Hemeda, BDS
• Naoki Hemmi
• Alyssa Christine Hendry
• Loreal Henry
• William Keith Henry
• Tetia Terez Henson, LMFT
• Evelyn Hernandez-Mejia
• Ariana Hernandez

All providers in Tustin, CA · Marriage & Family Therapist in California