Healthcare Provider Details

I. General information

NPI: 1083224711
Provider Name (Legal Business Name): ALEXANDRA LYNN HEPPERT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA LYNN STRAIT

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4063 BIRCH ST STE 220
NEWPORT BEACH CA
92660-2241
US

IV. Provider business mailing address

4063 BIRCH ST STE 220
NEWPORT BEACH CA
92660-2241
US

V. Phone/Fax

Practice location:
  • Phone: 949-229-5708
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number118045
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number134312
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: