Fortiva Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FORTIVA THERAPY

Practice address

2615 Pacific Coast Hwy Ste 225
Hermosa Beach, CA 90254-2228

Phone

(310) 906-0895

NPI assigned

Oct 19, 2024

Organization subpart

No

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

Authorized official

Name

Kelly Hayes, LMFT, LPCCNPI 1932819943

Title

Ceo

Phone

(310) 906-0895

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Lynn Hayes, MS, LMFT, LPCC

  • Marriage & Family Therapist
  • Truckee, CA
  • NPI 1932819943

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1134940463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 225",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542228",
            "telephone_number": "310-906-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 225",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542228",
            "telephone_number": "310-906-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIVA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-906-0895",
        "authorized_official_credential": "LMFT, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beryl Avila Fogel, M.A. CCC-SLP
• Harry Arthur Fogel, DC
• John Foley
• Mary Jo Ford, MD
• Ellen Forsyth
• Erin G Foster, ED.D, LMFT
• Haleigh Foster
• Miriam Franco, CCC-SLP
• Frank E Kaden D C Chiropractic Inc
• Frank P Amato DC Dabco a Chiropractic Corporation

• Mental Health Counselor in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.