Kevin B Niehaus, MSE, PSYD, LPCC,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC8824 Issued in CA

Practice address

2617 Ripley Ave
Redondo Beach, CA 90278-4553

Phone

(657) 233-0374

NPI assigned

Sep 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beach Cities Mental Health, a Lic Prof Clinical Counseling Corp

  • Counseling Psychologist
  • Torrance, CA
  • NPI 1821711409
  NPD Authorized official
• The Ness Counseling Center, Inc.

  • Contractor
  • Los Angeles, CA
  • NPI 1346578903
  NPD (past)
• The Ness Counseling Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1972648699
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1205319035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 RIPLEY AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784553",
            "telephone_number": "657-233-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 RIPLEY AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784553",
            "telephone_number": "657-233-0374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8512 Whitworth Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900352411",
            "country_code": "US",
            "telephone_number": "657-233-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEHAUS",
        "first_name": "KEVIN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MSE, PSYD, LPCC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-07",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC8824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nguyen, DDS, MS
• Trung Nguyen
• Molly Beth Nickerson, MSW, ACSW
• Kimberly Ruth Nicolson, DSW, LCSW
• Diana Flavia Nicorici, NP
• Nilesh Patel D O Inc
• Nina J Lee Tall MD Inc
• Nina Le, D.D.S., Inc.
• Heather M Nisenbaum
• Kent Nishiya, DC

• Professional Counselor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.