Active NPI
Michelle Chong, MA, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1609237916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 105327
- Practice address
- 1849 Sawtelle Blvd Ste 680
Los Angeles, CA 90025 - Phone
- (707) 622-6698
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 105327 | CA | Primary |
Addresses
Primary practice location
1849 Sawtelle Blvd Ste 680
Los Angeles, CA 90025
Mailing address
1849 Sawtelle Blvd Ste 680
Los Angeles, CA 90025-7082
Phone (707) 622-6698
Other practice location 1
5150 E Pacific Coast Hwy
Suite 100
Long Beach, CA 90804-3312
Phone (562) 490-7600
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childnet Youth and Family Services Inc | Past | Accepting new patients | |
| Allyson Wells MD Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Long Beach, CA
- NPI 1770181257
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1760519219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1609237916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 SAWTELLE BLVD STE 680",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257082",
"telephone_number": "707-622-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 SAWTELLE BLVD STE 680",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "707-622-6698"
}
],
"practiceLocations": [
{
"address_1": "5150 E Pacific Coast Hwy",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908043312",
"country_code": "US",
"telephone_number": "562-490-7600",
"fax_number": "562-490-7601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHONG",
"first_name": "MICHELLE",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "105327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.