Mending Hearts Center Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENDING HEARTS CENTER INC.

Practice address

440 E Commonwealth Ave Ste 205
Fullerton, CA 92832-2014

Phone

(714) 234-0906

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Lee Williams Jr., M.S., LMFTNPI 1043715840

Title

Ceo

Phone

(714) 234-0906

Specialties & licenses 1

Addresses

Other names 1

• Mending Hearts Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Lee Williams Jr., LMFT

  • Mental Health Counselor
  • Fullerton, CA
  • NPI 1043715840
  NPD Authorized official

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1982397030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E COMMONWEALTH AVE STE 205",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322014",
            "telephone_number": "714-234-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E COMMONWEALTH AVE STE 205",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322014",
            "telephone_number": "714-234-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-234-0906",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.S., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Hearts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ike Mendez-Mazariegos
• Capri Mendez
• Jason D Mendez
• Jessica Mendez
• Miguel Angel Mendez
• Anair M Mendoza
• Bethany Mendoza
• Emily Jasmine Mendoza
• Esteban Mendoza
• Jeanette Mendoza

• Mental Health Counselor in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.