Individual provider Active NPI

Amie Lowery-Luyties, MFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1720283252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41428 Issued in CA
Practice address
4030 E Broadway
Long Beach, CA 90803-1502
Phone
(562) 987-3535
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 41428 CA Primary

Addresses

Primary practice location

4030 E Broadway
Long Beach, CA 90803-1502

Mailing address

PO Box 15450
Long Beach, CA 90815-0450
Phone (562) 310-9741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 8, 2024 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720283252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15450",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908150450",
            "telephone_number": "562-310-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031502",
            "telephone_number": "562-987-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY-LUYTIES",
        "first_name": "AMIE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.