Individual provider Active NPI

Melissa Jasmine Hurtado-Haghighi, MFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1891018701
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91201 Issued in CA
Practice address
1191 Triumphal Way
Santa Ana, CA 92705-2925
Phone
(714) 202-6689
NPI assigned
Mar 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 91201 CA Primary

Addresses

Primary practice location

1191 Triumphal Way
Santa Ana, CA 92705-2925

Mailing address

1191 Triumphal Way
Santa Ana, CA 92705-2925
Phone (714) 202-6689

Other identifiers 1

IdentifierTypeStateIssuer
91201OtherCABBS

Other names 1

  • Mrs. Melissa Jasmine Hurtado Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 23, 2024 through Feb 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
91201CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1891018701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 TRIUMPHAL WAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052925",
            "telephone_number": "714-202-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 TRIUMPHAL WAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052925",
            "telephone_number": "714-202-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO-HAGHIGHI",
        "first_name": "MELISSA",
        "middle_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "91201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HURTADO",
            "middle_name": "JASMINE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.