Individual provider Active NPI

Cindy Shinwon Ellington, MFT

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1932425592
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39943 Issued in CA
Practice address
1745 W Orangewood Ave Ste 101
Orange, CA 92868-2041
Phone
(714) 515-2556
Fax
(714) 939-7720
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT - 372 HI
Marriage & Family Therapist 106H00000X MFC39943 CA Primary

Addresses

Primary practice location

1745 W Orangewood Ave Ste 101
Orange, CA 92868-2041

Mailing address

1745 W Orangewood Ave Ste 101
Orange, CA 92868-2041
Phone (714) 515-2556

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

LicenseStateTypeSpecialty
MFC39943CAMDMarriage & Family Therapist
MFT - 372HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1932425592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 W ORANGEWOOD AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682041",
            "telephone_number": "714-515-2556",
            "fax_number": "714-939-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 W ORANGEWOOD AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682041",
            "telephone_number": "714-515-2556",
            "fax_number": "714-939-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "CINDY",
        "middle_name": "SHINWON",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT - 372",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.