Individual provider Active NPI

Bahbah Makouie, MFT

  • Marriage & Family Therapist
  • Lawndale, CA
National Provider Identifier
1437468782
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52448 Issued in CA
Practice address
14717 Hawthorne Blvd Ste C
Lawndale, CA 90260-1580
Phone
(310) 355-0432
Fax
(213) 402-2101
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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 52448 CA Primary

Addresses

Primary practice location

14717 Hawthorne Blvd Ste C
Lawndale, CA 90260-1580

Mailing address

PO Box 155
Lawndale, CA 90260-0155
Phone (310) 592-0337

Other practice location 1

901 N. Pacific Coast Hwy
Suite 200a-204a
Redondo Beach, CA 90277
Phone (310) 316-1610

Other practice location 2

858 W 9th St Ste 101
San Pedro, CA 90731-3600
Phone (424) 264-5712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52448CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Next Move Mental Health Agency, Inc. Marriage & Family Therapist CurrentSince Feb 9, 2020 Accepting new patients
Blue Moon Senior Counseling of California LLC CurrentSince Oct 22, 2024 Accepting new patients
Soultenders, Inc. PastSince May 21, 2023 Accepting new patients

Locations

14717 Hawthorne Blvd
Ste C
Lawndale, CA 90260
Phone (310) 355-0432

858 W 9th St
Ste 101
San Pedro, CA 90731
Phone (424) 264-5712

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1437468782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902600155",
            "telephone_number": "310-592-0337",
            "fax_number": "213-402-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14717 HAWTHORNE BLVD STE C",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601580",
            "telephone_number": "310-355-0432",
            "fax_number": "213-402-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N. PACIFIC COAST HWY",
            "address_2": "SUITE 200A-204A",
            "address_purpose": "LOCATION",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "country_code": "US",
            "telephone_number": "310-316-1610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "858 W 9th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907313600",
            "country_code": "US",
            "telephone_number": "424-264-5712",
            "fax_number": "424-264-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKOUIE",
        "first_name": "BAHBAH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

Verify at the official NPI Registry.