MINDFUL RESTORATION - A MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORA (NPI# 1649810664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649810664 |
| Entity Type | Organization |
| Organization Name | MINDFUL RESTORATION - A MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORA |
| Practice Address |
4050 Katella Ave Ste 213 Los Alamitos CA 90720-3486 |
| Practice Telephone | 7143502713 |
| Mailing Telephone | 7143502713 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | JODEE MAGACALAS-GOSSETT (OWNER/THERAPIST) |
| Authorized Official Telephone | 7143502713 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4050 KATELLA AVE STE 213 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-3486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437415445 | Jodee Ann Magcalas-gossett | Marriage & Family Therapist | 4050 Katella Ave Ste 213, Los Alamitos, CA 90720-3486 | 2012-04-03 |
| 1851704399 | Stephanie Rochelle Torres | Marriage & Family Therapist | 4050 Katella Ave Ste 213, Los Alamitos, CA 90720-3486 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356462535 | Lynn Priscilla Klock | Counselor | 11110 Los Alamitos Blvd Ste 213, Los Alamitos, CA 90720-3602 | 2007-04-03 |
| 1255318358 | Elizabeth Jane Knego | Counselor | 4132 Katella Ave, Suite 206, Los Alamitos, CA 90720-3426 | 2005-12-29 |
| 1477095222 | Vanessa Bejarano | Counselor | 4281 Katella Ave Ste 201, Los Alamitos, CA 90720-6509 | 2016-11-10 |
| 1780135251 | Fawn Gabrielle Miller | Counselor | 4281 Katella Ave, Los Alamitos, CA 90720-3500 | 2016-10-20 |
| 1184076572 | Amy Robedeaux | Counselor | 4281 Katella Ave, Suite 201, Los Alamitos, CA 90720-3500 | 2016-07-08 |
| 1245689579 | Robin Strickland | Counselor | 4281 Katella Ave, Suite 201, Los Alamitos, CA 90720-3500 | 2016-06-07 |
| 1841644663 | Kimberly Marie Gibson | Counselor | 4281 Katella Ave, Suite 201, Los Alamitos, CA 90720-3500 | 2016-04-18 |
| 1376904219 | Stephanie Espinoza | Counselor | 4281 Katella Ave, 201, Los Alamitos, CA 90720-3500 | 2016-03-18 |
| 1184089237 | Aide Arredondo | Counselor | 4281 Katella Ave, 201, Los Alamitos, CA 90720-3500 | 2015-12-16 |
| 1831562313 | Judith Villamar | Counselor | 4281 Katella Ave, 201, Los Alamitos, CA 90720-3500 | 2015-11-05 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on MINDFUL RESTORATION - A MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORA.
| 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.