Individual provider Active NPI

Faith Anne Mitchell, MFT

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1598922445
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC30529 Issued in CA
Practice address
120 The VLG
Ste 305
Redondo Beach, CA 90277-2518
Phone
(310) 909-9951
Fax
(310) 372-2429
NPI assigned
May 19, 2008
Last updated
Jan 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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 MFC30529 CA Primary

Addresses

Primary practice location

120 The VLG
Ste 305
Redondo Beach, CA 90277-2518

Mailing address

120 The VLG
Ste 305
Redondo Beach, CA 90277-2518
Phone (310) 909-9951

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
MFC30529CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1598922445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 THE VLG",
            "address_2": "STE 305",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772518",
            "telephone_number": "310-909-9951",
            "fax_number": "310-372-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 THE VLG",
            "address_2": "STE 305",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772518",
            "telephone_number": "310-909-9951",
            "fax_number": "310-372-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "FAITH",
        "middle_name": "ANNE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC30529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.