Organization Active NPI

Susan Walshe, MFT, Inc

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1477025567
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SUSAN WALSHE, MFT, INC
Practice address
512 Redondo Ave Ste C
Long Beach, CA 90814-5128
Phone
(562) 480-2096
Fax
(562) 567-0579
NPI assigned
Dec 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Ms. Susan Walshe, LMFT
Title
President
Phone
(562) 233-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

512 Redondo Ave Ste C
Long Beach, CA 90814-5128

Mailing address

4712 E 2ND St # 736
Long Beach, CA 90803-5309
Phone (562) 480-2096

National Provider Directory

National Provider Directory

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": "1546128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1477025567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 E 2ND ST # 736",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035309",
            "telephone_number": "562-480-2096",
            "fax_number": "562-567-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 REDONDO AVE STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145128",
            "telephone_number": "562-480-2096",
            "fax_number": "562-567-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WALSHE, MFT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-30",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "WALSHE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-233-1223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Jul 15, 2024; 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.