Mark J Mitchell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MP19638 Issued in CA

Practice address

8055 W Manchester Ave Ste 200
Playa del Rey, CA 90293-7962

Phone

(310) 822-7979

NPI assigned

Feb 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1508563081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE STE 200",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937962",
            "telephone_number": "310-822-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE STE 200",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937962",
            "telephone_number": "310-822-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARK",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MP19638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isamar Mayol Calderon, MA
• David A McCall, RCP
• Michael Montgomey
• Michael Montgomey
• Jamie Miller, MA, PHD
• Michael Christopher Montgomery, DDS
• Andrea Moore, LMFT
• La Toya Chante Morris, D.D.S.
• Myra Consortium
• Kailie Nicole Kaleikaumaka Nakamoto, FNP-C

• Mental Health Counselor in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.