Cibele Sousa

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

75801 Issued in CA

Practice address

2716 Ocean Park Blvd Ste 3075
Santa Monica, CA 90405-5232

Phone

(424) 247-6172

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Marriage & Family Therapy Network, a Professional Corporation

  • Marriage & Family Therapist
  • Santa Monica, CA
  • NPI 1558720904
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356865018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OCEAN PARK BLVD STE 3075",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055232",
            "telephone_number": "424-247-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OCEAN PARK BLVD STE 3075",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055232",
            "telephone_number": "424-247-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Rosecrans Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662494",
            "country_code": "US",
            "telephone_number": "424-247-6172",
            "fax_number": "424-247-6172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "CIBELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "75801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Soto
• Melanie Anne Soto
• Soulaire Wellness
• Soultice Health Moves
• Source Surgery Center LLC
• Southern California Head & Neck Medical Group
• Southern California Head & Neck Surgery Center
• Southern California Head Neck Imaging Center
• Southern California Medical Gastroenterology Group, Inc.
• Southern California Mobility, Inc.

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.