Lisa Jean Stevens, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

44620 Issued in CA

Practice address

5199 E Pacific Coast Hwy Ste 208
Long Beach, CA 90804-3388

Phone

(562) 310-3777

NPI assigned

Jan 17, 2013

Sex

Female

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)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Advances in Mental Health &Addictions Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Long Beach, CA
  • NPI 1225302383

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1255679783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 HUNTINGTON LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784222",
            "telephone_number": "310-850-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 E PACIFIC COAST HWY STE 208",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043388",
            "telephone_number": "562-310-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LISA",
        "middle_name": "JEAN",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven L. Eng, M.D., Inc.
• Steven Wu Dental Corporation
• Deva Stevens, NP
• Heather Stevens, R.D.
• Jacqueline Stevens, LCSW
• Makeely Stevens
• Michelle Stevens
• Tania Stevens, O.D.
• Brooke Bond Stevenson, ACSW
• Keshea J Stevenson, PA

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.