MRS. CONNIE MARIE KINGSLAND LMFT
NPI 1750637658
Marriage & Family Therapist in Fullerton, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since July 28, 2012PECOS EnrolledAccepts Medicare Assignment

1619 E CHAPMAN AVE, FULLERTON, CA 92831(714) 904-3352(714) 992-5259 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Connie Marie Kingsland Lmft NPPES

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

MRS. CONNIE MARIE KINGSLAND LMFT (NPI 1750637658) is an individual marriage & family therapist in Fullerton, California, licensed in California (MFC 51902) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1750637658

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. CONNIE MARIE KINGSLANDCredential: LMFT

Location Address1619 E CHAPMAN AVEFullerton, CA 92831-4015

Mailing Address2005 W Almond AveOrange, CA 92868-3401 · (714) 904-3352 · Fax (714) 992-5259

Phone(714) 904-3352

Fax(714) 992-5259

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 28, 2012

Last NPPES UpdateJanuary 6, 2016

✔ NPI 1750637658 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 · MFC 51902

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.

1619 E CHAPMAN AVE, Fullerton, CA 92831

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Connie Marie Kingsland Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860645694

PECOS Enrollment IDI20240122004557

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.