Organization Active NPI

Envision Youth Services, Inc.

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1396601167
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Kamelah ThompsonNPI 1285404533
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.