Active NPI
Jennifer Hanlin, MS,RD,MFT
- Marriage & Family Therapist
- Mission Viejo, CA
National Provider Identifier
1902038110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 45729
- Practice address
- 26461 Crown Valley Pkwy Ste 100
Mission Viejo, CA 92691-6377 - Phone
- (714) 914-0673
- NPI assigned
- Aug 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 45729 | CA | Primary |
| Registered Dietitian | 133V00000X | 910223 | CA |
Addresses
Primary practice location
26461 Crown Valley Pkwy Ste 100
Mission Viejo, CA 92691-6377
Mailing address
26461 Crown Valley Pkwy Ste 100
Mission Viejo, CA 92691-6377
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 |
|---|---|---|---|
| 45729 | CA | MD | Marriage & Family Therapist |
| 910223 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1902038110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26461 CROWN VALLEY PKWY STE 100",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26461 CROWN VALLEY PKWY STE 100",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916377",
"telephone_number": "714-914-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLIN",
"first_name": "JENNIFER",
"credential": "MS,RD,MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45729",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "910223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.