Healthcare Provider Details

I. General information

NPI: 1487560652
Provider Name (Legal Business Name): BRITTANY KELLY BARGERS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 WESTERLY PL STE 250
NEWPORT BEACH CA
92660-2347
US

IV. Provider business mailing address

PO BOX 4581
ORANGE CA
92863-4581
US

V. Phone/Fax

Practice location:
  • Phone: 714-759-2237
  • Fax:
Mailing address:
  • Phone: 714-759-2237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164959
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: