Individual provider Active NPI

Selena Sigala, MS

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1215536404
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146839 Issued in CA
Practice address
4565 California Ave
Long Beach, CA 90807-1507
Phone
(562) 422-8472
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 121163 CA
Marriage & Family Therapist 106H00000X 146839 CA Primary

Addresses

Primary practice location

4565 California Ave
Long Beach, CA 90807-1507

Mailing address

PO Box 1865
Ontario, CA 91762-0865
Phone (909) 235-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028001843 CA Practitioner - Marriage and Family Therapist 3375076425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
121163CAMDMental Health Counselor
146839CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tumambing Hughes Marriage and Family Therapy Incorporated Marriage & Family Therapist CurrentSince Oct 17, 2024 Accepting new patients

Locations

150 W Foothill Blvd
San Dimas, CA 91773
Phone (626) 507-3585

150 W Foothill Blvd
Unit A
San Dimas, CA 91773
Phone (626) 507-3585

Organizations & group practices 1

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1215536404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1865",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917620865",
            "telephone_number": "909-235-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 CALIFORNIA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071507",
            "telephone_number": "562-422-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGALA",
        "first_name": "SELENA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "121163",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.