Active NPI
Deanna Daniels Jacinto, LMFT
- Marriage & Family Therapist
- Costa Mesa, CA
National Provider Identifier
1912102930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 46227
- Practice address
- 234 E. 17TH Street
Suite 105a
Costa Mesa, CA 92627 - Phone
- (949) 645-4328
- NPI assigned
- Jun 19, 2007
- Last updated
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 46227 | CA | Primary |
Addresses
Primary practice location
234 E. 17TH Street
Suite 105a
Costa Mesa, CA 92627
Mailing address
6462 Royal Oak Dr
Huntington Beach, CA 92647-2339
Phone (714) 726-3872
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 46227 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1912102930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6462 ROYAL OAK DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926472339",
"telephone_number": "714-726-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E. 17TH STREET",
"address_2": "SUITE 105A",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92627",
"telephone_number": "949-645-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACINTO",
"first_name": "DEANNA",
"middle_name": "DANIELS",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 46227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.