Active NPI
Andreea Gendreau, LMFT
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1699063719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT88183
- Practice address
- 5190 Atlantic Ave
Long Beach, CA 90805-6510 - Phone
- (562) 428-4111
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 | LMFT88183 | CA | Primary |
Addresses
Primary practice location
5190 Atlantic Ave
Long Beach, CA 90805-6510
Mailing address
29475 Castle Rd
Laguna Niguel, CA 92677-7807
Phone (949) 933-9348
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT88183 | CA | MD | Marriage & Family Therapist |
| 88183 | CA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarzana Treatment Centers, Inc. | Current | Accepting new patients | |
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Tarzana Treatment Centers, Inc. | Current | Accepting new patients |
Locations
5190 Atlantic Ave
Long Beach, CA 90805
Phone (562) 428-4111
18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815
Interoperability endpoints
- andreeagendreau-tarzanatc@lacsapc.netsmartdirect.net
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Lancaster, CA
- NPI 1346842093
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
- Community/Behavioral Health Agency
- Tarzana, CA
- NPI 1467032599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1699063719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29475 CASTLE RD",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777807",
"telephone_number": "949-933-9348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908056510",
"telephone_number": "562-428-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDREAU",
"first_name": "ANDREEA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT88183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.