Active NPI
Makena Knapp
- Marriage & Family Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 137490
- Practice address
- 19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407 - Phone
- (949) 441-0146
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 137490 | CA | Primary |
Addresses
Primary practice location
19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407
Mailing address
24551 Del Prado PO Box 671
Dana Point, CA 92629
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3150 Pio Pico Dr
Suite 105
Carlsbad, CA 92008-1951
Phone (760) 500-3325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137490 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wave Professional Clinical Counselors, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
3150 Pio Pico Dr
Ste 105
Carlsbad, CA 92008
Phone (760) 828-5300
23181 La Cadena Dr
Ste 101
Laguna Hills, CA 92653
Phone (949) 347-5234
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Carlsbad, CA
- NPI 1700288768
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1942986039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24551 DEL PRADO PO BOX 671",
"city": "DANA POINT",
"state": "CA",
"postal_code": "92629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19712 MACARTHUR BLVD STE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122407",
"telephone_number": "949-441-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "MAKENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "137490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.