Fairy Empowered Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FAIRY EMPOWERED THERAPY

Practice address

5200 Clark Ave Unit 626
Lakewood, CA 90714-7031

Phone

(562) 805-3092

NPI assigned

Mar 24, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fairy ShawNPI 1639727209

Title

Owner

Phone

(562) 805-3092

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fairy Shaw, AMFT

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1639727209
  NPD Authorized official

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1689512139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CLARK AVE UNIT 626",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907147031",
            "telephone_number": "562-805-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CLARK AVE UNIT 626",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907147031",
            "telephone_number": "562-805-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRY EMPOWERED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "FAIRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-805-3092"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Estrada, LAC
• Gina Maria Estrada, LVN
• Marcella Estrada, RSLD
• Extra Care Medical Transport
• Monica Fahim
• Khaled Fakoor, PHARM.D/R.PH.
• Suzanne Mary Falkenburg, R.D.
• Family Intervention Center & Services
• Basem R. Farag, M.D
• Feng Liu DDS, Inc

• Marriage & Family Therapist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.