Individual provider Active NPI

Kellie S Lockwood-Rios, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1477878411
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117218 Issued in CA
Practice address
4433 E Village Rd Ste I
Long Beach, CA 90808-1505
Phone
(562) 528-6043
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 117218 CA Primary

Addresses

Primary practice location

4433 E Village Rd Ste I
Long Beach, CA 90808-1505

Mailing address

4433 E Village Rd Ste I
Long Beach, CA 90808-1505
Phone (562) 528-6043

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
117218CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kellie Lockwood-Rios, Individual and Family Therapy CurrentSince Oct 29, 2023 Accepting new patients
Safe Refuge Past Accepting new patients
Substance Abuse Foundation of Long Beach Past Accepting new patients

Locations

4433 E Village Rd
Ste I
Long Beach, CA 90808
Phone (562) 239-2281

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1477878411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 E VILLAGE RD STE I",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081505",
            "telephone_number": "562-528-6043",
            "fax_number": "562-317-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 E VILLAGE RD STE I",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081505",
            "telephone_number": "562-528-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD-RIOS",
        "first_name": "KELLIE",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117218",
            "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 Nov 2, 2020; 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.