KELLY CHAU QUACH (NPI# 1023461456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023461456 |
| Entity Type | Individual |
| Full Name | KELLY CHAU QUACH |
| Credential | LMFT |
| Practice Address |
14411 Brookhurst St Ste D & E Garden Grove CA 92843 |
| Mailing Address |
14411 Brookhurst St Ste D& E Garden Grove CA 92843-4667 |
| Practice Telephone | 7145487202 |
| Mailing Telephone | 7145487202 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
94090 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 106752 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3530 Atlantic Ave Ste 210, Long Beach, CA 908074569 | 7148394545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033507264 | Kelly Quach | Occupational Therapist | 2502 Potrero Ave, El Monte, CA 91733-1852 | 2014-12-22 |
| 1043364185 | Kelly Quach | Chiropractor | 1035 S De Anza Blvd, Ste 5, San Jose, CA 95129-2772 | 2007-01-23 |
| Street Address |
14411 BROOKHURST ST STE D & E |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| 1437408465 | Timmy Hieu Truong | Dentist | 10226 Westminster Ave, Garden Grove, CA 92843 | 2012-09-05 |
| Find all providers in zip 92843 | ||||
| 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 |
|---|---|---|---|---|
| 1992311187 | Jessica Marin Tovar | Marriage & Family Therapist | 12413 Rock Springs Ct, Garden Grove, CA 92843-4147 | 2020-09-22 |
| 1447870639 | Guardian Angel Family Counseling PC | Marriage & Family Therapist | 12371 Lewis St Ste 103, Garden Grove, CA 92840-4687 | 2020-04-17 |
| 1174082705 | Corinne Raskind | Marriage & Family Therapist | 12842 Valley View St Ste 202, Garden Grove, CA 92845-2517 | 2019-03-13 |
| 1780133934 | Rebecca Bokoch | Marriage & Family Therapist | 10540 Chapman Ave, Garden Grove, CA 92840-3101 | 2016-09-29 |
| 1508218678 | Deborah Roe | Marriage & Family Therapist | 12900 Garden Grove Blvd # A214, Garden Grove, CA 92843-2006 | 2016-07-12 |
| 1699124149 | Lanh Truong | Marriage & Family Therapist | 12755 Brookhurst St Ste 116205, Garden Grove, CA 92840-4857 | 2016-06-06 |
| 1093198012 | Maria Pilar Gomez Marmolejo | Marriage & Family Therapist | 11311 Jerry Ln, Garden Grove, CA 92840-3447 | 2015-07-08 |
| 1669870077 | Mai Tran | Marriage & Family Therapist | 12900 Garden Grove Blvd Ste B225, Garden Grove, CA 92843-2040 | 2014-12-17 |
| 1134530678 | Jennifer Craft | Marriage & Family Therapist | 13071 Birchwood St, Garden Grove, CA 92843-1321 | 2014-05-19 |
| 1295158855 | Saida Julissa Cadena | Marriage & Family Therapist | 13210 Harbor Blvd # 248, Garden Grove, CA 92843-1737 | 2014-01-31 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on KELLY CHAU QUACH.
| 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.