Individual provider Active NPI

Mia Jang, AMFT, APCC

  • Mental Health Counselor
  • Redondo Beach, CA
National Provider Identifier
1730029703
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT161166 Issued in CA
Practice address
225 Avenue I Ste 204
Redondo Beach, CA 90277-5608
Phone
(424) 903-6520
NPI assigned
Mar 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC21821 CA
Mental Health Counselor 101YM0800X AMFT161166 CA Primary

Addresses

Primary practice location

225 Avenue I Ste 204
Redondo Beach, CA 90277-5608

Mailing address

11341 National Blvd # 1136
Los Angeles, CA 90064-3726

Other practice location 1

1230 Rosecrans Ave Ste 300
Manhattan Beach, CA 90266-2494
Phone (424) 903-6520

Other practice location 2

23332 Hawthorne Blvd Ste 304
Torrance, CA 90505-4457
Phone (424) 903-6520

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
AMFT161166CAMDMental Health Counselor
APCC21821CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Action Orthopedic Company, LLC Past Accepting new patients
Q Psychology Group, a Psychological Corporation PastSince Jan 1, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1730029703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11341 NATIONAL BLVD # 1136",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 AVENUE I STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775608",
            "telephone_number": "424-903-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Rosecrans Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662494",
            "country_code": "US",
            "telephone_number": "424-903-6520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23332 Hawthorne Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054457",
            "country_code": "US",
            "telephone_number": "424-903-6520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "MIA",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC21821",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT161166",
            "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 Mar 30, 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.