Tracy Kovacs Bevington, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

53455 Issued in CA

Practice address

2716 Ocean Park Blvd Ste 3075
Santa Monica, CA 90405-5232

Phone

(310) 612-2998

NPI assigned

Aug 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 3, 2025 through Apr 3, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Pacific Marriage & Family Therapy Network, a Professional Corporation

  • Marriage & Family Therapist
  • Santa Monica, CA
  • NPI 1558720904
  NPD Authorized official
• Pacific Wellness Group a Professional Marriage & Family Therapy Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Monica, CA
  • NPI 1477137933
  NPD Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1073913745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OCEAN PARK BLVD STE 3075",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055232",
            "telephone_number": "310-612-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OCEAN PARK BLVD STE 3075",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055232",
            "telephone_number": "310-612-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVINGTON",
        "first_name": "TRACY",
        "middle_name": "KOVACS",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Best Natural Smile
• Best Physical Therapy & Sports Medicine, Inc
• Beth Siegler, a Medical Corporation
• John S Bettinger, DDS
• Beverlymedical Sleep Center & Neurodiagnostic, Inc
• David Pierre Beynet, M.D.
• Umesh Thakurdas Bhagia, MD
• Anushka Rani Mahal Bhalla, MD, MPH
• Samir Bhalla, M.D.
• Venita Bhuchar, PHARMD

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.