Individual provider Active NPI

Sara Stanizai, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1124340005
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT98421 Issued in CA
Practice address
4510 E Pacific Coast Hwy
Long Beach, CA 90804-3279
Phone
(562) 704-4736
NPI assigned
Feb 19, 2010
Last updated
Jan 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF73119 CA
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X LMFT98421 CA Primary

Addresses

Primary practice location

4510 E Pacific Coast Hwy
Long Beach, CA 90804-3279

Mailing address

4510 E Pacific Coast Hwy Ste 540
Long Beach, CA 90804-6941
Phone (310) 916-8405

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 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF73119CAMDMarriage & Family Therapist
LMFT98421CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Family Therapy, a Professional Corporation Marriage & Family Therapist CurrentSince Feb 4, 2024 Accepting new patients

Locations

4510 E Pacific Coast Hwy
Ste 540
Long Beach, CA 90804
Phone (562) 704-4736

6621 E Pacific Coast Hwy
Ste 110
Long Beach, CA 90803

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1124340005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY STE 540",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046941",
            "telephone_number": "310-916-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043279",
            "telephone_number": "562-704-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANIZAI",
        "first_name": "SARA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF73119",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT98421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.