Individual provider Active NPI

Ellen Gecht, MFT

  • Marriage & Family Therapist
  • Laguna Niguel, CA
National Provider Identifier
1972716264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC20900 Issued in CA
Practice address
30100 Crown Valley Pkwy Ste 17
Laguna Niguel, CA 92677-2041
Phone
(949) 831-0939
Fax
(949) 831-6123
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC20900 CA Primary

Addresses

Primary practice location

30100 Crown Valley Pkwy Ste 17
Laguna Niguel, CA 92677-2041

Mailing address

30100 Crown Valley Pkwy Ste 17
Laguna Niguel, CA 92677-2041
Phone (949) 831-0939

Other identifiers 1

IdentifierTypeStateIssuer
MFC20900OtherCALICENSE NUMBER

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
MFC20900CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972716264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 CROWN VALLEY PKWY STE 17",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772041",
            "telephone_number": "949-831-0939",
            "fax_number": "949-831-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 CROWN VALLEY PKWY STE 17",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772041",
            "telephone_number": "949-831-0939",
            "fax_number": "949-831-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GECHT",
        "first_name": "ELLEN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MFC20900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.