Active NPI
Envision Youth Services, Inc.
- Mental Health Counselor
- Long Beach, CA
National Provider Identifier
1396601167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ENVISION YOUTH SERVICES, INC.
- Practice address
- 5378 Long Beach Blvd Ste 136
Long Beach, CA 90805-5858 - Phone
- (562) 519-9657
- Fax
- (562) 519-9657
- NPI assigned
- Dec 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamelah Thompson
- Title
- Executive Director
- Phone
- (562) 519-9657
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5378 Long Beach Blvd Ste 136
Long Beach, CA 90805-5858
Mailing address
5378 Long Beach Blvd Ste 136
Long Beach, CA 90805-5858
Phone (562) 519-9657
National Provider Directory
National Provider DirectoryLocations
5378 Long Beach Blvd
Ste 136
Long Beach, CA 90805
Phone (562) 519-9657
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766534400000",
"number": "1396601167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5378 LONG BEACH BLVD STE 136",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908055858",
"telephone_number": "562-519-9657",
"fax_number": "562-519-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5378 LONG BEACH BLVD STE 136",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908055858",
"telephone_number": "562-519-9657",
"fax_number": "562-519-9657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION YOUTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-24",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "KAMELAH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "562-519-9657"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.