Individual provider Active NPI

Kelli Rea, LMFT

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1134085012
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
160677 Issued in CA
Practice address
1921 S Catalina Ave Ste 1
Redondo Beach, CA 90277-5516
Phone
(310) 961-1608
NPI assigned
Jan 5, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 160677 CA Primary

Addresses

Primary practice location

1921 S Catalina Ave Ste 1
Redondo Beach, CA 90277-5516

Mailing address

1201 N Catalina Ave
Redondo Beach, CA 90277-2166

Other practice location 1

1617 S Pacific Coast Hwy Ste B
Redondo Beach, CA 90277-5612
Phone (310) 961-1608

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 5, 2026 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160677CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1134085012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N CATALINA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S CATALINA AVE STE 1",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775516",
            "telephone_number": "310-961-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 S Pacific Coast Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902775612",
            "country_code": "US",
            "telephone_number": "310-961-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REA",
        "first_name": "KELLI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "160677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.