JYOTI MALLIKA GUSTAFSON LMFT
NPI 1700184124
Marriage & Family Therapist in Santa Ana, CA

Q: What is Jyoti Gustafson's NPI number?

The NPI number for Jyoti Gustafson is 1700184124. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Q: What is Jyoti Gustafson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jyoti Gustafson was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 09, 2011PECOS Enrolled

615 W CIVIC CENTER DR STE 200, SANTA ANA, CA 92701(714) 795-3444(714) 795-3445 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2023, Feb 24, 2021 (2 updates tracked since 2021).

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About Jyoti Mallika Gustafson Lmft NPPES

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

JYOTI MALLIKA GUSTAFSON LMFT (NPI 1700184124) is an individual marriage & family therapist in Santa Ana, California, licensed in California (122101) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700184124

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJYOTI MALLIKA GUSTAFSONCredential: LMFT

Location Address615 W CIVIC CENTER DR STE 200Santa Ana, CA 92701-4052

Mailing Address615 W Civic Center Dr Ste 200Santa Ana, CA 92701-4052 · (714) 795-3444 · Fax (714) 795-3445

Phone(714) 795-3444

Fax(714) 795-3445

Sole ProprietorNo

Enumeration DateMarch 9, 2011

Last NPPES UpdateApril 11, 20232 updates tracked since enumeration

NPPES CertifiedApril 11, 2023

✔ NPI 1700184124 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 · 122101

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.

615 W CIVIC CENTER DR STE 200, Santa Ana, CA 92701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jyoti Mallika Gustafson Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

PAMELA MARIE HAMMON

Counselor (Mental Health)