Individual provider Active NPI

Mona-Lisa Lind, I MFT 69826

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1407113376
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMFT69826 Issued in CA
Practice address
901 North Pacific Coast Hwy., Ste. 200a-204a
Redondo Beach, CA 90266
Phone
(310) 316-1610
Fax
(310) 316-4209
NPI assigned
Apr 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMFT69826 CA Primary

Addresses

Primary practice location

901 North Pacific Coast Hwy., Ste. 200a-204a
Redondo Beach, CA 90266

Mailing address

901 North Pacific Coast Hwy., Ste. 200a-204a
Redondo Beach, CA 90266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMFT69826CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1407113376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NORTH PACIFIC COAST HWY., STE. 200A-204A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NORTH PACIFIC COAST HWY., STE. 200A-204A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90266",
            "telephone_number": "310-316-1610",
            "fax_number": "310-316-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "MONA-LISA",
        "name_prefix": "Ms.",
        "credential": "I MFT 69826",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMFT69826",
            "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 Aug 17, 2018; 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.