Individual provider Active NPI

Christine Lewis, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1902047905
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45468 Issued in CA
Practice address
1504 Brookhollow Dr Ste 111
Santa Ana, CA 92705-5418
Phone
(714) 881-8670
Fax
(714) 957-1065
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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 45468 CA Primary

Addresses

Primary practice location

1504 Brookhollow Dr Ste 111
Santa Ana, CA 92705-5418

Mailing address

1504 Brookhollow Dr Ste 111
Santa Ana, CA 92705-5418
Phone (714) 881-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2025 through Jan 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1902047905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BROOKHOLLOW DR STE 111",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055418",
            "telephone_number": "714-881-8670",
            "fax_number": "714-957-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BROOKHOLLOW DR STE 111",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055418",
            "telephone_number": "714-881-8670",
            "fax_number": "714-957-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHRISTINE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.