Eclectic Minds Therapy a Marriage and Family Therapy Corporation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ECLECTIC MINDS THERAPY A MARRIAGE AND FAMILY THERAPY CORPORATION

Practice address

1241 E Michelson St
Long Beach, CA 90805-4845

Phone

(562) 756-8161

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Adrina Wilson, LMFT 107939NPI 1275074866

Title

Ceo

Phone

(562) 756-8161

Specialties & licenses 1

Addresses

Other names 1

• Eclectic Minds Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrina Wilson

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1275074866

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1083309686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E MICHELSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054845",
            "telephone_number": "562-756-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E MICHELSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054845",
            "telephone_number": "562-756-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC MINDS THERAPY A MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ADRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-756-8161",
        "authorized_official_credential": "LMFT 107939"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eclectic Minds Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eclectic Minds Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosa Isela Echeverria
• Diana Echeverry-Franck, MD
• David Eckhous, OTR/L, CO
• Matthew Eckmeder, RN
• Cassandra Eclarinal
• Jodi Eddington
• Tasha Eddy
• Jaclyn Edelson, MD
• Katherine Edelstein
• Kendall Noel Ederer, PT, DPT

• Mental Health Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.