Organization Active NPI

My Life Redefined, Inc.

  • Mental Health Counselor
  • Redondo Beach, CA
National Provider Identifier
1801675293
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MY LIFE REDEFINED, INC.
Practice address
1711 Via El Prado Ste 202
Redondo Beach, CA 90277-5721
Phone
(949) 706-4248
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Mr. Kenneth Ribotsky, LMFTNPI 1124648662
Title
Owner/Ceo
Phone
(949) 706-4248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1711 Via El Prado Ste 202
Redondo Beach, CA 90277-5721

Mailing address

318 Avenue I # 455
Redondo Beach, CA 90277-5601
Phone (949) 706-4248

Other practice location 1

1601 Dove St Ste 100
Newport Beach, CA 92660-2410
Phone (949) 706-4248

National Provider Directory

National Provider Directory

Locations

1601 Dove St
Ste 100
Newport Beach, CA 92660
Phone (877) 669-8511

1711 Via El Prado
Ste 202
Redondo Beach, CA 90277
Phone (310) 316-1764

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1801675293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 AVENUE I # 455",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775601",
            "telephone_number": "949-706-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 VIA EL PRADO STE 202",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775721",
            "telephone_number": "949-706-4248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Dove St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602410",
            "country_code": "US",
            "telephone_number": "949-706-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY LIFE REDEFINED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "RIBOTSKY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "949-706-4248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Sep 25, 2023; 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.