Individual provider Active NPI

Walter Lathy, M.F.T.

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1598798118
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC12743 Issued in CA
Practice address
5855 E Naples PLZ
Suite 310
Long Beach, CA 90803-5060
Phone
(213) 422-9929
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 MFC12743 CA Primary

Addresses

Primary practice location

5855 E Naples PLZ
Suite 310
Long Beach, CA 90803-5060

Mailing address

5855 E Naples PLZ
Suite 310
Long Beach, CA 90803-5060
Phone (213) 422-9929

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
I20240524003395 CA Practitioner - Mental Health Counselor 1456793108 Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Long Beach, CA 90802
Phone (213) 422-9929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy Center CurrentSince Feb 11, 2024 Accepting new patients

Organizations & group practices 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1598798118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLZ",
            "address_2": "SUITE 310",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035060",
            "telephone_number": "213-422-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLZ",
            "address_2": "SUITE 310",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035060",
            "telephone_number": "213-422-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHY",
        "first_name": "WALTER",
        "credential": "M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC12743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.