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CHANDRA MEDINA, MARRIAGE AND FAMILY THERAPY INC
NPI 1467285478
Counselor - Mental Health in Lake Forest, CA

Active since August 23, 2024
22792 CENTRE DR STE 104, LAKE FOREST, CA 92630(714) 326-3722 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chandra Medina, Marriage And Family Therapy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANDRA MEDINA, MARRIAGE AND FAMILY THERAPY INC (NPI 1467285478), doing business as Thrive Recovery, is a healthcare organization registered as a mental health in Lake Forest, California and active in the NPI registry since August 2024. The organization lists Chandra Medina, President/owner, as its authorized official.

NPPES Registry Identity

NPI1467285478
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHANDRA MEDINA, MARRIAGE AND FAMILY THERAPY INC
Location Address22792 CENTRE DR STE 104Lake Forest, CA 92630-6311
Mailing Address22792 Centre Dr Ste 104Lake Forest, CA 92630-6311 · (714) 326-3722
Phone(714) 326-3722
Organization SubpartNo
Authorized OfficialChandra MedinaPresident/owner · (714) 326-3722
Enumeration DateAugust 23, 2024
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1467285478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
22792 CENTRE DR STE 104, Lake Forest, CA 92630
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Other Names 1

Doing Business AsThrive Recovery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOOM THERAPY SERVICES LLC
Clinic/Center
22792 CENTRE DR STE 104
LAKE FOREST, CA 92630
Orange County (949) 606-4681
FREEDOM COLLECTIVE THERAPY GROUP
Counselor (Mental Health)
22792 CENTRE DR STE 104
LAKE FOREST, CA 92630
Orange County (714) 326-3722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandra Medina, Marriage And Family Therapy Inc's NPI number?

The NPI number for Chandra Medina, Marriage And Family Therapy Inc is 1467285478. It was assigned to this organization in the NPPES registry on August 23, 2024. The provider is doing business as Thrive Recovery.

Where is Chandra Medina, Marriage And Family Therapy Inc located?

Chandra Medina, Marriage And Family Therapy Inc is located at 22792 Centre Dr Ste 104, Lake Forest, CA 92630. The listed phone number is (714) 326-3722.

What is Chandra Medina, Marriage And Family Therapy Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Chandra Medina, Marriage And Family Therapy Inc was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.