Individual provider Active NPI

Maudi Ivette Negron, MFT 48829

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1578693792
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48829 Issued in CA
Practice address
815 N El Centro Ave
Los Angeles, CA 90038-3805
Phone
(323) 463-2119
NPI assigned
Mar 6, 2007
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 48829 CA Primary

Addresses

Primary practice location

815 N El Centro Ave
Los Angeles, CA 90038-3805

Mailing address

815 N El Centro Ave
Los Angeles, CA 90038-3805
Phone (323) 463-2119

Other practice location 1

1055 E Colorado Blvd Fl 5
Pasadena, CA 91106-2327
Phone (626) 788-6634

Other names 1

  • Maudi Ivette Mills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250812002440 CA Practitioner - Marriage and Family Therapist 7012415722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48829CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Jul 1, 2025 Accepting new patients
Nancy Uberto LCSW & Associates Past Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1578693792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N EL CENTRO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383805",
            "telephone_number": "323-463-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N EL CENTRO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383805",
            "telephone_number": "323-463-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 E Colorado Blvd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062327",
            "country_code": "US",
            "telephone_number": "626-788-6634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "MAUDI",
        "middle_name": "IVETTE",
        "credential": "MFT 48829",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUDI",
            "last_name": "MILLS",
            "middle_name": "IVETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.