Active NPI
Trevessa M. Terrile, MFTI
- Marriage & Family Therapist
- Redondo Beach, CA
National Provider Identifier
1306243274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 73068
- Practice address
- 901 N Pacific Coast Hwy Ste 200a
Redondo Beach, CA 90277-7702 - Phone
- (310) 316-1610
- NPI assigned
- Nov 20, 2014
- 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 | 73068 | CA | Primary |
Addresses
Primary practice location
901 N Pacific Coast Hwy Ste 200a
Redondo Beach, CA 90277-7702
Mailing address
1425 Lombardy Rd
Pasadena, CA 91106-4121
Phone (818) 395-2215
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 |
|---|---|---|---|
| 73068 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1306243274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 LOMBARDY RD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911064121",
"telephone_number": "818-395-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N PACIFIC COAST HWY STE 200A",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902777702",
"telephone_number": "310-316-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRILE",
"first_name": "TREVESSA",
"middle_name": "M.",
"credential": "MFTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "73068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
- Paul-Roy Taylor, PHD
- Alexis Tchakalian
- Michael Allan Tebo, D.C.
- Rita Tenenbaum, M.D.
- Connie Teng, MD
- Teugbyeolhan, Licensed Clinical Social Worker, Inc.
- The Cliff at Redondo Beach, Inc.
- The Mother Nurture Center
- The Neurobehavioral Healthcare Center, a Professional Psychological Co
- The TBH Movement, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.