Individual provider Active NPI

Lanayah Apuan-Wild, ACPP#19567

  • Mental Health Counselor
  • Redondo Beach, CA
National Provider Identifier
1144119355
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19567 Issued in CA
Practice address
410 Camino Real
Redondo Beach, CA 90277-3815
Phone
(310) 316-1212
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19567 CA Primary

Addresses

Primary practice location

410 Camino Real
Redondo Beach, CA 90277-3815

Mailing address

410 Camino Real
Redondo Beach, CA 90277-3815
Phone (310) 363-5763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19567CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Audrey Sarto-Mayes, Licensed Clinical Social Worker, Bloom Therapy & Wellness Mental Health CurrentSince Jul 9, 2025 Accepting new patients
South Bay Children'S Health Center Mental Health Past Accepting new patients
South Bay Childrens Health Center Association Inc Past Accepting new patients

Locations

27 E Victoria St
Ste J
Santa Barbara, CA 93101
Phone (805) 272-0825

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1144119355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CAMINO REAL",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773815",
            "telephone_number": "310-363-5763",
            "fax_number": "310-316-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CAMINO REAL",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773815",
            "telephone_number": "310-316-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APUAN-WILD",
        "first_name": "LANAYAH",
        "credential": "ACPP#19567",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "19567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.