Healthcare Provider Details

I. General information

NPI: 1255242079
Provider Name (Legal Business Name): CENTER CIRCLE MARRIAGE AND FAMILY COUNSELING, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7755 CENTER AVE STE 1100
HUNTINGTON BEACH CA
92647-3091
US

IV. Provider business mailing address

7755 CENTER AVE STE 1100
HUNTINGTON BEACH CA
92647-3091
US

V. Phone/Fax

Practice location:
  • Phone: 562-413-0400
  • Fax: 562-414-6245
Mailing address:
  • Phone: 562-413-0400
  • Fax: 562-414-6245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ALENE MITZEL
Title or Position: PRESIDENT
Credential: LMFT
Phone: 562-413-0400