Individual provider Active NPI

Reina Lee Foxworthy, LMFT

  • Marriage & Family Therapist
  • Rancho Palos Verdes, CA
National Provider Identifier
1518366699
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
115876 Issued in CA
Practice address
28625 S Western Ave # 2038
Rancho Palos Verdes, CA 90275-0810
Phone
(310) 896-5107
NPI assigned
Aug 14, 2014
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 115876 CA Primary

Addresses

Primary practice location

28625 S Western Ave # 2038
Rancho Palos Verdes, CA 90275-0810

Mailing address

28625 S Western Ave # 2038
Rancho Palos Verdes, CA 90275-0810
Phone (310) 896-5107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430003340 CA Practitioner - Marriage and Family Therapist 4284074816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115876CAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.reinafoxworthy@148377.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1518366699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28625 S WESTERN AVE # 2038",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750810",
            "telephone_number": "310-896-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28625 S WESTERN AVE # 2038",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750810",
            "telephone_number": "310-896-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXWORTHY",
        "first_name": "REINA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

Verify at the official NPI Registry.