Active NPI
Aspen Alexis Kling, MS
- Professional Counselor
- Newport Beach, CA
National Provider Identifier
1912623711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12350
- Practice address
- 4120 Birch St Ste 121
Newport Beach, CA 92660-2228 - Phone
- (714) 540-9070
- Fax
- (714) 884-4347
- NPI assigned
- Oct 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12350 | CA | Primary |
Addresses
Primary practice location
4120 Birch St Ste 121
Newport Beach, CA 92660-2228
Mailing address
1142 Rutland Rd
Newport Beach, CA 92660-4621
Phone (916) 768-3468
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12350 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1912623711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 RUTLAND RD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926604621",
"telephone_number": "916-768-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 BIRCH ST STE 121",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602228",
"telephone_number": "714-540-9070",
"fax_number": "714-884-4347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLING",
"first_name": "ASPEN",
"middle_name": "ALEXIS",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "12350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.