NPIMap

Organization Active NPI

Free Your Mind Marriage & Family Therapy, Professional Inc

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1922578608
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FREE YOUR MIND MARRIAGE & FAMILY THERAPY, PROFESSIONAL INC
Doing business as
Free Your Mind Marriage & Family Therapy, Professional Inc
Practice address
23152 Verdugo Dr Ste 190D
Laguna Hills, CA 92653-1363
Phone
(949) 520-2720
NPI assigned
Nov 26, 2018
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Dr. Shervin Abbassi, EDD, LMFTNPI 1770712689
Title
Owner
Phone
(949) 520-2720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

23152 Verdugo Dr Ste 190D
Laguna Hills, CA 92653-1363

Mailing address

23152 Verdugo Dr Ste 190D
Laguna Hills, CA 92653-1363
Phone (949) 520-2720

Other names 1

  • Free Your Mind Marriage & Family Therapy, Professional Inc Doing business as

National Provider Directory

National Provider Directory

Locations

23121 Verdugo Dr
Ste 105
Laguna Hills, CA 92653
Phone (949) 520-2720

23152 Verdugo Dr
Ste 150
Laguna Hills, CA 92653
Phone (949) 520-2720

23152 Verdugo Dr
Ste 190D
Laguna Hills, CA 92653
Phone (949) 520-2720

23181 Verdugo Dr
Ste 105B
Laguna Hills, CA 92653
Phone (949) 520-2720

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1922578608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23152 VERDUGO DR STE 190D",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531363",
            "telephone_number": "949-520-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23152 VERDUGO DR STE 190D",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531363",
            "telephone_number": "949-520-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE YOUR MIND MARRIAGE & FAMILY THERAPY, PROFESSIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "ABBASSI",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-520-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free Your Mind Marriage & Family Therapy, Professional Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.