Individual provider Active NPI

Monique Anastasia Mitchell-Hickmon, AMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1033997937
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138099 Issued in CA
Practice address
400 Oceangate Ste 510
Long Beach, CA 90802-4306
Phone
(310) 499-4549
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 138099 CA Primary

Addresses

Primary practice location

400 Oceangate Ste 510
Long Beach, CA 90802-4306

Mailing address

400 Oceangate Ste 510
Long Beach, CA 90802-4306
Phone (310) 499-4549

Other names 1

  • Monique Anastasia Mitchell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1033997937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OCEANGATE STE 510",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024306",
            "telephone_number": "310-499-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OCEANGATE STE 510",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024306",
            "telephone_number": "310-499-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-HICKMON",
        "first_name": "MONIQUE",
        "middle_name": "ANASTASIA",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "MITCHELL",
            "middle_name": "ANASTASIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.