Organization Active NPI

Child & Individual Art Therapy

  • Marriage & Family Therapist
  • Hermosa Beach, CA
National Provider Identifier
1174244263
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CHILD & INDIVIDUAL ART THERAPY
Practice address
2401 Pacific Coast Hwy Ste 106
Hermosa Beach, CA 90254-2734
Phone
(424) 247-6010
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Jennifer Ortega Ortega
Title
Billing & Operations Manager
Phone
(530) 316-4248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X

Addresses

Primary practice location

2401 Pacific Coast Hwy Ste 106
Hermosa Beach, CA 90254-2734

Mailing address

PO Box 19
Portola, CA 96122-0019
Phone (530) 316-4248

Other names 2

  • Kavanaugh Therapy, Inc. Doing business as
  • NQ Therapy, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2401 Pacific Coast Hwy
Ste 106
Hermosa Beach, CA 90254
Phone (424) 209-2095

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1174244263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961220019",
            "telephone_number": "530-316-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PACIFIC COAST HWY STE 106",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542734",
            "telephone_number": "424-247-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & INDIVIDUAL ART THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ORTEGA",
        "authorized_official_title_or_position": "BILLING & OPERATIONS MANAGER",
        "authorized_official_telephone_number": "530-316-4248"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kavanaugh Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NQ Therapy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermosa Beach, CA

Sources for this page

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