Organization Active NPI

Effective Therapy Individual Relationship Family and Child Coun

Doing business as Effective Therapy

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1255030649
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EFFECTIVE THERAPY INDIVIDUAL RELATIONSHIP FAMILY AND CHILD COUN
Doing business as
Effective Therapy
Practice address
24050 Madison St Ste 217
Torrance, CA 90505-6017
Phone
(310) 463-6638
Fax
(310) 373-4564
NPI assigned
Feb 24, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Ms. Meghan Tracy
Title
Billing/Credentialing
Phone
(949) 433-8023

Specialties & licenses 1

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

Addresses

Primary practice location

24050 Madison St Ste 217
Torrance, CA 90505-6017

Mailing address

24050 Madison St Ste 217
Torrance, CA 90505-6017

Other names 1

  • EFFECTIVE THERAPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240807003155 CA Part B Supplier - Clinic/Group Practice 9830540699 Receives reassigned benefits from 11 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1255030649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST STE 217",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056017",
            "fax_number": "310-373-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST STE 217",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056017",
            "telephone_number": "310-463-6638",
            "fax_number": "310-373-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE THERAPY INDIVIDUAL RELATIONSHIP FAMILY AND CHILD COUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "949-433-8023",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EFFECTIVE THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EFFECTIVE THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.