MRS. NUBIA HENNESSEY M.A.
NPI 1861676587
Marriage & Family Therapist in Tustin, CA
About Mrs. Nubia Hennessey M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NUBIA HENNESSEY M.A. (NPI 1861676587) is an individual marriage & family therapist in Tustin, California, licensed in California (53896) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nubia Hennessey M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nubia Hennessey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Ana, CA 92705
- Reassigned Medicare billing, California enrollment
- 26 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSTIN, CA 92780
TUSTIN, CA 92780
TUSTIN, CA 92780
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 Nubia Hennessey's NPI number?
The NPI number for Nubia Hennessey is 1861676587. It was assigned to this individual provider in the NPPES registry on December 18, 2007.
Where is Nubia Hennessey located?
Nubia Hennessey practices at 18302 Irvine Blvd Ste 375, Tustin, CA 92780. The listed phone number is (714) 661-5390.
What is Nubia Hennessey's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nubia Hennessey enrolled in Medicare?
Yes. Nubia Hennessey is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nubia Hennessey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nubia Hennessey reassigns Medicare benefits to 2 organizations: College Community Services (Santa Ana, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nubia Hennessey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nubia Hennessey was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Nubia Hennessey, M.A. · NPI 1861676587
Marriage & Family Therapist provider in Tustin, California. Individual provider, active in the CMS NPPES registry since December 18, 2007.
## Identity
- **NPI:** 1861676587 (Entity type: Individual)
- **Enumerated:** December 18, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 53896 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18302 IRVINE BLVD STE 375, Tustin, CA 92780-3435
- **Phone:** (714) 661-5390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): College Community Services (NPI 1235274804, Santa Ana, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861676587) · Data from the CMS NPPES public registry.