LAURA ELLENWOOD (NPI# 1487826285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487826285 |
| Entity Type | Individual |
| Full Name | LAURA ELLENWOOD |
| Credential | LMFT |
| Practice Address |
4199 Campus Drive 275 Irvine CA 92612 |
| Mailing Address |
4733 Torrance Blvd. 511 Torrance CA 90503 |
| Practice Telephone | 9492257444 |
| Mailing Telephone | 3108035454 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC29360 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4199 CAMPUS DRIVE 275 |
| City | IRVINE |
| State | CA |
| Zip Code | 92612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174656987 | Peter R Welgan | Psychologist | 4199 Campus Drive, Suite 550, Irvine, CA 92612 | 2007-03-13 |
| 1770730293 | William Paul Boehm | Psychologist | 4199 Campus Drive, Suite 550, Irvine, CA 92612 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
| 1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
| 1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
| 1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
| 1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
| Find all providers in zip 92612 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102358 | Alana Model Heavirland | Marriage & Family Therapist | 8 Misty Shadow, Irvine, CA 92603-3766 | 2020-10-18 |
| 1225651482 | Jacalyn Jay Schoen | Marriage & Family Therapist | 17682 Mitchell N Ste 104, Irvine, CA 92614-6094 | 2020-05-22 |
| 1033730700 | Jodi Paris | Marriage & Family Therapist | 64 Sagan, Irvine, CA 92618-1332 | 2020-05-04 |
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1265099527 | Kelley Kuit | Marriage & Family Therapist | 1682 Langley Ave, Irvine, CA 92614-5620 | 2019-05-22 |
| 1154888055 | Rafael Speck | Marriage & Family Therapist | 9 Barcelona, Irvine, CA 92614-5315 | 2019-02-27 |
| 1578020582 | Craig Hanggie | Marriage & Family Therapist | 335 Grand Canal, Irvine, CA 92620-1883 | 2019-02-26 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1801369244 | Shellee Mi Moore | Marriage & Family Therapist | 20 Corporate Park Ste 215, Irvine, CA 92606-3111 | 2019-01-08 |
| 1588133920 | Summer Witty | Marriage & Family Therapist | 152 Full Moon, Irvine, CA 92618-8806 | 2018-11-14 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.