Individual provider Active NPI

Andrea Beth Reitman, AMFT/APCC

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1104336197
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145812 Issued in CA
Practice address
1840 Fairburn Ave Apt 308
Los Angeles, CA 90025-4923
Phone
(310) 882-8453
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 145812 CA Primary

Addresses

Primary practice location

1840 Fairburn Ave Apt 308
Los Angeles, CA 90025-4923

Mailing address

PO Box 1656
Pacific Palisades, CA 90272-1656
Phone (310) 882-8453

Other identifiers 1

IdentifierTypeStateIssuer
AMFT105274OtherCABBS

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
I20240503000744 CA Practitioner - Marriage and Family Therapist 8921448200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Tomorrow Family Therapy Inc Counselor CurrentSince Dec 14, 2025 Accepting new patients
Kohan International Foundation Marriage & Family Therapist CurrentSince Apr 19, 2024 Accepting new patients
Clare Matrix Past Accepting new patients

Locations

5601 W Slauson Ave
Ste 192
Culver City, CA 90230
Phone (310) 968-6648

Organizations & group practices 3

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1104336197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1656",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721656",
            "telephone_number": "310-882-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FAIRBURN AVE APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254923",
            "telephone_number": "310-882-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITMAN",
        "first_name": "ANDREA",
        "middle_name": "BETH",
        "credential": "AMFT/APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "AMFT105274",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.