Individual provider Active NPI

Abigail Withee, MFT

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1124218896
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC48372 Issued in CA
Practice address
1848 S Elena Ave # 105
Redondo Beach, CA 90277
Phone
(310) 243-6580
Fax
(888) 610-6302
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC48372 CA
Marriage & Family Therapist 106H00000X MFC48372 CA Primary

Addresses

Primary practice location

1848 S Elena Ave # 105
Redondo Beach, CA 90277

Mailing address

1848 S Elena Ave # 105
Redondo Beach, CA 90277-5710
Phone (310) 243-6580

Other practice location 1

4030 Palos Verdes Dr N Ste 106
Rolling Hills Estates, CA 90274-2560
Phone (310) 243-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 18, 2024 through Sep 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC48372CAMDMarriage & Family Therapist
48372CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Withee, Marriage and Family Therapist, Inc. Marriage & Family Therapist CurrentSince Oct 10, 2021 Accepting new patients

Locations

1848 S Elena Ave
Ste 105
Redondo Beach, CA 90277
Phone (310) 243-6580

Organizations & group practices 1

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1124218896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 S ELENA AVE # 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775710",
            "telephone_number": "310-243-6580",
            "fax_number": "888-610-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 S ELENA AVE # 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-243-6580",
            "fax_number": "888-610-6302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Palos Verdes Dr N Ste 106",
            "address_purpose": "LOCATION",
            "city": "Rolling Hills Estates",
            "state": "CA",
            "postal_code": "902742560",
            "country_code": "US",
            "telephone_number": "310-243-6580",
            "fax_number": "888-610-6302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHEE",
        "first_name": "ABIGAIL",
        "name_prefix": "Miss",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC48372",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC48372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.