Individual provider Active NPI

Haley Jo Wright, MS

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1083041370
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123492 Issued in CA
Practice address
1955 Long Beach Blvd
Long Beach, CA 90806-5501
Phone
(562) 437-6717
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 101934 CA
Marriage & Family Therapist 106H00000X IMF101934 CA
Rehabilitation Practitioner 225400000X
Marriage & Family Therapist 106H00000X 123492 CA Primary

Addresses

Primary practice location

1955 Long Beach Blvd
Long Beach, CA 90806-5501

Mailing address

1955 Long Beach Blvd
Long Beach, CA 90806-5501
Phone (562) 437-6717

Other practice location 1

2025 E 7th St
Long Beach, CA 90804-4590
Phone (562) 284-0108

Other practice location 2

35387 Woshka Ln
Wildomar, CA 92595-9539
Phone (541) 840-2579

Other identifiers 2

IdentifierTypeStateIssuer
IMF101394OtherCABOARD OF BEHAVIORAL SCIEND
LMFT123492OtherCABBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251203001306 CA Practitioner - Marriage and Family Therapist 3476046921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1955 Long Beach Blvd
Long Beach, CA 90806-5501

3633 E Broadway
Suite 200
Long Beach, CA 90803-6035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101934CAMDMarriage & Family Therapist
123492CAMDMarriage & Family Therapist
IMF101934CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health America of Los Angeles Current Accepting new patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients
Mental Health America of Los Angeles CurrentSince Oct 1, 2025 Accepting new patients
Mental Health America of Los Angeles CurrentSince Oct 1, 2025 Accepting new patients

Locations

1955 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 533-4942

2025 E 7th St
Long Beach, CA 90804
Phone (562) 284-0108

456 Elm Ave
Long Beach, CA 90802
Phone (562) 999-6964

Interoperability endpoints

  • Direct secure messaging: haleywright@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1083041370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065501",
            "telephone_number": "562-437-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065501",
            "telephone_number": "562-437-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908044590",
            "country_code": "US",
            "telephone_number": "562-284-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35387 Woshka Ln",
            "address_purpose": "LOCATION",
            "city": "Wildomar",
            "state": "CA",
            "postal_code": "925959539",
            "country_code": "US",
            "telephone_number": "541-840-2579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "HALEY",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101934",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF101934",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIEND",
            "identifier": "IMF101394",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "LMFT123492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.