Stacy Maureen Mitchell, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT44748 Issued in CA

Practice address

4510 E Pacific Coast Hwy Ste 210
Long Beach, CA 90804-6928

Phone

(562) 476-6955

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1770651341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 LOMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045216",
            "telephone_number": "949-793-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY STE 210",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046928",
            "telephone_number": "562-476-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STACY",
        "middle_name": "MAUREEN",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT44748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LMFT44748",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@innerstrengththerapist.com",
            "affiliation": "N",
            "endpointDescription": "Hushmail Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4510 E Pacific Coast Hwy Ste 210",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908046928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Ann Mitchell, LMFT125999
• Melba Mitchell, RN
• Pierce Mitchell, MD
• Ron Mitchell
• Sharea Mitchell
• Steven Carron Mitchell
• Tanyrah Mitchell
• Tony Mith
• Thomas Mitropoulos
• Monica Lillian Mittal, MSC, MSW, PPSC

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, 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 Jun 10, 2022; 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.