Individual provider Active NPI

Keith David Attardo, M.S. , MFT

  • Marriage & Family Therapist
  • Los Alamitos, CA
National Provider Identifier
1003049560
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44200 Issued in CA
Practice address
4132 Katella Ave Ste 104
Los Alamitos, CA 90720-3493
Phone
(562) 234-4194
NPI assigned
Sep 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 44200 CA Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

4132 Katella Ave Ste 104
Los Alamitos, CA 90720-3493

Mailing address

4132 Katella Ave Ste 104
Los Alamitos, CA 90720-3493
Phone (562) 234-4194

Other practice location 1

9138 E Rusty Spur Pl
Scottsdale, AZ 85255-9143
Phone (562) 234-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240307003056 CA Practitioner - Marriage and Family Therapist 9830535244 Reassigns benefits to 1 organization
I20240722000386 AZ Practitioner - Marriage and Family Therapist 9830535244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Counseling GroupGroup PAC ID 8921444332, 2 clinicians

Practice addresses (Care Compare)

4132 Katella Ave
Suite 104
Los Alamitos, CA 90720-3493
Phone (562) 234-4194

9138 E Rusty Spur PL
Scottsdale, AZ 85255-9143
Phone (562) 234-4194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling Group CurrentSince Feb 9, 2024 Accepting new patients
Grace Counseling Group Marriage & Family Therapist CurrentSince Feb 9, 2024 Accepting new patients
Keith Attardo LMFT LLC Marriage & Family Therapist CurrentSince May 23, 2024 Accepting new patients

Locations

4132 Katella Ave
Ste 104
Los Alamitos, CA 90720
Phone (562) 234-4194

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1003049560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203493",
            "telephone_number": "562-234-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203493",
            "telephone_number": "562-234-4194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9138 E Rusty Spur Pl",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852559143",
            "country_code": "US",
            "telephone_number": "562-234-4194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTARDO",
        "first_name": "KEITH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.S. , MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44200",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.