Individual provider Active NPI

Vera Viss, MFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1144389974
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 36990 Issued in CA
Practice address
5855 E Naples PLZ Ste 301
Long Beach, CA 90803-5091
Phone
(949) 343-6969
Fax
(562) 597-3563
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 36990 CA Primary
Marriage & Family Therapist 106H00000X 36990 CA

Addresses

Primary practice location

5855 E Naples PLZ Ste 301
Long Beach, CA 90803-5091

Mailing address

5855 E Naples PLZ Ste 301
Long Beach, CA 90803-5091
Phone (949) 343-6969

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
MFC 36990CAMDMarriage & Family Therapist
36990CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1144389974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLZ STE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035091",
            "telephone_number": "949-343-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLZ STE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035091",
            "telephone_number": "949-343-6969",
            "fax_number": "562-597-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISS",
        "first_name": "VERA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 36990",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.