Active NPI
Lindsey Rae McOmber Ackerman, LMFT
- Marriage & Family Therapist
- Redondo Beach, CA
National Provider Identifier
1295489581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130278
- Practice address
- 201 Herondo St
Redondo Beach, CA 90277-2000 - Phone
- (310) 993-9853
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 130278 | CA | Primary |
Addresses
Primary practice location
201 Herondo St
Redondo Beach, CA 90277-2000
Mailing address
PO Box 341113
Los Angeles, CA 90034-9113
Phone (646) 533-8638
Other practice location 1
700 N Pacific Coast Hwy Ste 301
Redondo Beach, CA 90277-2147
Phone (646) 533-8638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130278 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1295489581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 341113",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900349113",
"telephone_number": "646-533-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HERONDO ST",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772000",
"telephone_number": "310-993-9853"
}
],
"practiceLocations": [
{
"address_1": "700 N Pacific Coast Hwy Ste 301",
"address_purpose": "LOCATION",
"city": "Redondo Beach",
"state": "CA",
"postal_code": "902772147",
"country_code": "US",
"telephone_number": "646-533-8638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACKERMAN",
"first_name": "LINDSEY",
"middle_name": "RAE MCOMBER",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.