Individual provider Active NPI

Meyna Kheng

  • Marriage & Family Therapist
  • Anaheim, CA
National Provider Identifier
1922564871
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT138911 Issued in CA
Practice address
711 E Ball Rd Ste 201
Anaheim, CA 92805-5925
Phone
(714) 254-8573
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT122982 CA
Behavior Technician 106S00000X
Marriage & Family Therapist 106H00000X LMFT138911 CA Primary

Addresses

Primary practice location

711 E Ball Rd Ste 201
Anaheim, CA 92805-5925

Mailing address

711 E Ball Rd Ste 201
Anaheim, CA 92805-5925
Phone (714) 254-8473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001793 CA Practitioner - Marriage and Family Therapist 9133641103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT122982CAMDMarriage & Family Therapist
LMFT138911CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Pathways Family Counseling Inc Marriage & Family Therapist CurrentSince Jan 4, 2025 Accepting new patients
Personalized Treatment & Intervention Services CurrentSince Jan 4, 2025 Accepting new patients

Locations

11800 Central Ave
Ste 225
Chino, CA 91710
Phone (909) 576-3889

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1922564871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E BALL RD STE 201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055925",
            "telephone_number": "714-254-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E BALL RD STE 201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055925",
            "telephone_number": "714-254-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHENG",
        "first_name": "MEYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT122982",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT138911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.