Individual provider Active NPI

Constance Klein

  • Marriage & Family Therapist
  • Huntington Beach, CA
National Provider Identifier
1881708808
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT28655 Issued in CA
Practice address
21131 Binghampton Circle
Huntington Beach, CA 92646-7300
Phone
(714) 964-5779
Fax
(714) 963-3359
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT28655 CA Primary

Addresses

Primary practice location

21131 Binghampton Circle
Huntington Beach, CA 92646-7300

Mailing address

21131 Binghampton Cir
Huntington Beach, CA 92646-7300
Phone (714) 964-5779

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
I20240212000156 CA Practitioner - Marriage and Family Therapist 4183067762 Practice locations: Huntington Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21131 Binghampton Cir
Huntington Beach, CA 92646-7300
Phone (714) 448-7738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT28655CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1881708808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21131 BINGHAMPTON CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467300",
            "telephone_number": "714-964-5779",
            "fax_number": "714-963-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21131 BINGHAMPTON CIRCLE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467300",
            "telephone_number": "714-964-5779",
            "fax_number": "714-963-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "CONSTANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT28655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.