Individual provider Active NPI

Denise Marie Stephens

  • Marriage & Family Therapist
  • Garden Grove, CA
National Provider Identifier
1962757765
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34928 Issued in CA
Practice address
12772 Valley View St
Suite 3
Garden Grove, CA 92845-2506
Phone
(714) 799-7799
Fax
(714) 799-1633
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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 MFC34928 CA Primary

Addresses

Primary practice location

12772 Valley View St
Suite 3
Garden Grove, CA 92845-2506

Mailing address

12772 Valley View St
Suite 3
Garden Grove, CA 92845-2506
Phone (714) 799-7799

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
MFC34928CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Te Medical Center, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1962757765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12772 VALLEY VIEW ST",
            "address_2": "SUITE 3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452506",
            "telephone_number": "714-799-7799",
            "fax_number": "714-799-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12772 VALLEY VIEW ST",
            "address_2": "SUITE 3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452506",
            "telephone_number": "714-799-7799",
            "fax_number": "714-799-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.