Active NPI
Noah Stewart
- Counselor
- Mission Viejo, CA
National Provider Identifier
1912532169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 123776
- Practice address
- 27800 Medical Center Rd Ste 108
Mission Viejo, CA 92691-6407 - Phone
- (949) 866-3600
- NPI assigned
- Mar 9, 2020
- Last updated
- Jul 14, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 123776 | CA | Primary |
Addresses
Primary practice location
27800 Medical Center Rd Ste 108
Mission Viejo, CA 92691-6407
Mailing address
27800 Medical Center Rd Ste 108
Mission Viejo, CA 92691-6407
Phone (949) 866-3600
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 |
|---|---|---|---|
| 123776 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720915200000",
"number": "1912532169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD STE 108",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916407",
"telephone_number": "949-866-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD STE 108",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916407",
"telephone_number": "949-866-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "NOAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2024-07-14",
"certification_date": "2024-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "123776",
"primary": true
}
],
"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 Jul 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.