Individual provider Active NPI

Denise Nha-CHI Nguyen, LMFT

  • Marriage & Family Therapist
  • Fountain Valley, CA
National Provider Identifier
1881844850
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
108761 Issued in CA
Practice address
17150 Newhope St Ste 205
Fountain Valley, CA 92708-4250
Phone
(949) 431-6374
Fax
(949) 577-8375
NPI assigned
Sep 25, 2008
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 61825 CA
Marriage & Family Therapist 106H00000X 108761 CA Primary

Addresses

Primary practice location

17150 Newhope St Ste 205
Fountain Valley, CA 92708-4250

Mailing address

11364 Renaissance Way
Stanton, CA 90680-3391
Phone (714) 497-9383

Other practice location 1

1161 N Raymond Ave.
Suite 200
Anaheim, CA 92801-1146
Phone (714) 966-8615

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
I20251103002553 CA Practitioner - Marriage and Family Therapist 1951891555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Management Medical Group IncGroup PAC ID 0547252918, 42 clinicians

Practice addresses (Care Compare)

999 N Tustin Ave
Suite 201
Santa Ana, CA 92705-6506
Phone (714) 975-7950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108761CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Aug 11, 2025 Accepting new patients
Moving Forward Psychological Institute, LLC PastSince Oct 24, 2021 Accepting new patients
Moving Forward Psychological Institute, Inc Marriage & Family Therapist PastSince Oct 24, 2021 Accepting new patients
South Coast Children's Society, Inc Past Accepting new patients

Locations

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1881844850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11364 RENAISSANCE WAY",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803391",
            "telephone_number": "714-497-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084250",
            "telephone_number": "949-431-6374",
            "fax_number": "949-577-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 N Raymond Ave.",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011146",
            "country_code": "US",
            "telephone_number": "714-966-8615",
            "fax_number": "714-434-0549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DENISE",
        "middle_name": "NHA-CHI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2021-10-20",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "61825",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.