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EILEEN M CHANG LMFT
NPI 1619280740
Marriage & Family Therapist in Lake Forest, CA

Active since July 19, 2010Opted out of Medicare · through Mar 11, 2028
23101 LAKE CENTER DR STE 335, LAKE FOREST, CA 92630(949) 299-0288 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Jun 29, 2021, Dec 11, 2020 (3 updates tracked since 2020).

About Eileen M Chang Lmft NPPES

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

EILEEN M CHANG LMFT (NPI 1619280740) is an individual marriage & family therapist in Lake Forest, California, licensed in California (149751) and active in the NPI registry since July 2010. She has opted out of Medicare through March 11, 2028.

NPPES Registry Identity

NPI1619280740
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameEILEEN M CHANGCredential: LMFT
Location Address23101 LAKE CENTER DR STE 335Lake Forest, CA 92630-6819
Mailing Address23101 Lake Center Dr Ste 335Lake Forest, CA 92630-6819 · (949) 299-0288
Phone(949) 299-0288
Sole ProprietorYes
Enumeration DateJuly 19, 2010
Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1619280740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 149751
Definition
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.
23101 LAKE CENTER DR STE 335, Lake Forest, CA 92630
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Eileen M Chang Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 11, 2026 through March 11, 2028.

Opt-Out Effective DateMarch 11, 2026
Opt-Out In Effect ThroughMarch 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Eileen Chang's NPI number?

The NPI number for Eileen Chang is 1619280740. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Eileen Chang located?

Eileen Chang practices at 23101 Lake Center Dr Ste 335, Lake Forest, CA 92630. The listed phone number is (949) 299-0288.

What is Eileen Chang's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Eileen Chang enrolled in Medicare?

No. Eileen Chang has opted out of Medicare through March 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Eileen Chang was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.