Individual provider Active NPI

Hayley Nicole Casselman, M.A.

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1104008192
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 52818 Issued in CA
Practice address
24445 Hawthorne Blvd Ste 103
Torrance, CA 90505-6562
Phone
(424) 282-9905
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 54234 CA
Marriage & Family Therapist 106H00000X MFC 52818 CA Primary

Addresses

Primary practice location

24445 Hawthorne Blvd Ste 103
Torrance, CA 90505-6562

Mailing address

24445 Hawthorne Blvd Ste 103
Torrance, CA 90505-6562
Phone (424) 282-9905

Other identifiers 2

IdentifierTypeStateIssuer
MFC 52818OtherCABBS
IMF 54234OtherCABBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 4, 2024 through Jan 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
52818CAMDMental Health Counselor
IMF 54234CAMDMarriage & Family Therapist
MFC 52818CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1104008192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24445 HAWTHORNE BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056562",
            "telephone_number": "424-282-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24445 HAWTHORNE BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056562",
            "telephone_number": "424-282-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELMAN",
        "first_name": "HAYLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 54234",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 52818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "MFC 52818",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "IMF 54234",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.