Active NPI
Anne Louise Clary, MFT
- Marriage & Family Therapist
- Redondo Beach, CA
National Provider Identifier
1093817181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- ME23879
- Practice address
- 1840 S Elena Ave
#205
Redondo Beach, CA 90277-5703 - Phone
- (310) 373-9229
- Fax
- (310) 545-0940
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | ME23879 | CA | Primary |
Addresses
Primary practice location
1840 S Elena Ave
#205
Redondo Beach, CA 90277-5703
Mailing address
1840 S Elena Ave
#205
Redondo Beach, CA 90277-5703
Phone (310) 373-9229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME23879 | Other | CA | MFT LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME23879 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093817181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 S ELENA AVE",
"address_2": "#205",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775703",
"telephone_number": "310-373-9229",
"fax_number": "310-545-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 S ELENA AVE",
"address_2": "#205",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775703",
"telephone_number": "310-373-9229",
"fax_number": "310-545-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "ANNE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "ME23879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT LICENSE",
"identifier": "ME23879",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
- Ann M Clark, O.D.
- Catalina Francesca Betty Clark, LM, CPM
- Heather Marie Dubbert Clark, MA, LMFT
- Nathan Clark, DC
- Tyler Keith Clark, D.C.
- Clear Recovery Center, LLC (Clear Inc. Residential)
- Clear Recovery Center, LLC (Clear Behavioral Health)
- Clear Recovery Center, LLC (Clear Behavioral Health)
- Clear Recovery Center, LLC (Clear Behavioral Health)
- Kristina Alexis Cleland, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.