Active NPI
Amy Noelle McCauley, MFT
- Marriage & Family Therapist
- Redondo Beach, CA
National Provider Identifier
1356763528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 42142
- Practice address
- 1711 Via El Prado Ste 204
Redondo Beach, CA 90277-5721 - Phone
- (310) 793-6625
- NPI assigned
- Jan 7, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 42142 | CA | |
| Marriage & Family Therapist | 106H00000X | 42142 | CA | Primary |
Addresses
Primary practice location
1711 Via El Prado Ste 204
Redondo Beach, CA 90277-5721
Mailing address
1711 Via El Prado Ste 204
Redondo Beach, CA 90277-5721
Phone (310) 793-6625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 23, 2025 through Jan 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42142 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1356763528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 VIA EL PRADO STE 204",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775721",
"telephone_number": "310-793-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 VIA EL PRADO STE 204",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775721",
"telephone_number": "310-793-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAULEY",
"first_name": "AMY",
"middle_name": "NOELLE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-07",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "42142",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "42142",
"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 Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.