Active NPI
Kasey Mandelbaum, M.S., AMFT, APCC
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1891577433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13597
- Practice address
- 4221 Wilshire Blvd Ste 320
Los Angeles, CA 90010-3559 - Phone
- (323) 577-4288
- NPI assigned
- Oct 18, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13597 | CA | Primary |
Addresses
Primary practice location
4221 Wilshire Blvd Ste 320
Los Angeles, CA 90010-3559
Mailing address
8597 Holly Way
Buena Park, CA 90620-3308
Phone (310) 462-8759
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13597 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891577433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8597 HOLLY WAY",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203308",
"telephone_number": "310-462-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 WILSHIRE BLVD STE 320",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103559",
"telephone_number": "323-577-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDELBAUM",
"first_name": "KASEY",
"credential": "M.S., AMFT, APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2025-09-11",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "13597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.