Individual provider Active NPI

Judith Ann Van Bebber, MFT

  • Marriage & Family Therapist
  • Brea, CA
National Provider Identifier
1932447356
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC47302 Issued in CA
Practice address
238 S Orange Ave
Suite 201
Brea, CA 92821-4980
Phone
(714) 615-1400
Fax
(714) 529-0208
NPI assigned
Jan 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC47302 CA Primary

Addresses

Primary practice location

238 S Orange Ave
Suite 201
Brea, CA 92821-4980

Mailing address

238 S Orange Ave
Suite 201
Brea, CA 92821-4980
Phone (714) 615-1400

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
MFC47302CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1932447356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S ORANGE AVE",
            "address_2": "SUITE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214980",
            "telephone_number": "714-615-1400",
            "fax_number": "714-529-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S ORANGE AVE",
            "address_2": "SUITE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214980",
            "telephone_number": "714-615-1400",
            "fax_number": "714-529-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BEBBER",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC47302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.