Active NPI
Eka Sabrina Childs
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1316227945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111539
- Practice address
- 161 W Victoria St
Long Beach, CA 90805 - Phone
- (323) 242-5000
- NPI assigned
- Aug 26, 2011
- Last updated
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 74374 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | 111539 | CA | Primary |
Addresses
Primary practice location
161 W Victoria St
Long Beach, CA 90805
Mailing address
161 W Victoria St
Long Beach, CA 90805-2175
Phone (323) 242-5000
Other practice location 1
506 E Fairview Ave
San Gabriel, CA 91776-3039
Phone (626) 297-2084
Other practice location 2
506 E Fairview Ave
San Gabriel, CA 91776-3039
Phone (626) 297-2084
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 |
|---|---|---|---|
| 74374 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1316227945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W VICTORIA ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908052175",
"telephone_number": "323-242-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W VICTORIA ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90805",
"telephone_number": "323-242-5000"
}
],
"practiceLocations": [
{
"address_1": "506 E Fairview Ave",
"address_purpose": "LOCATION",
"city": "San Gabriel",
"state": "CA",
"postal_code": "917763039",
"country_code": "US",
"telephone_number": "626-297-2084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 E Fairview Ave",
"address_purpose": "LOCATION",
"city": "San Gabriel",
"state": "CA",
"postal_code": "917763039",
"country_code": "US",
"telephone_number": "626-297-2084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHILDS",
"first_name": "EKA",
"middle_name": "SABRINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "74374",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "111539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.