Organization Active NPI

Shelly Ware Marriage and Family Therapist, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Beach, CA
National Provider Identifier
1316611544
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHELLY WARE MARRIAGE AND FAMILY THERAPIST, INC
Practice address
5848 E Naples PLZ
Long Beach, CA 90803-5000
Phone
(310) 508-1235
Fax
(949) 561-5657
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Shelly Ware, LMFT
Title
Owner
Phone
(310) 508-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5848 E Naples PLZ
Long Beach, CA 90803-5000

Mailing address

234 Quartermaster Rd
San Pedro, CA 90731-7271
Phone (310) 508-1235

National Provider Directory

National Provider Directory

Locations

5848 E Naples Plz
Long Beach, CA 90803
Phone (310) 508-1235

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1316611544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 QUARTERMASTER RD",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907317271",
            "telephone_number": "310-508-1235",
            "fax_number": "949-561-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 E NAPLES PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035000",
            "telephone_number": "310-508-1235",
            "fax_number": "949-561-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY WARE MARRIAGE AND FAMILY THERAPIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-508-1235",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Aug 2, 2021; 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.