Active NPI
Krystal Dawn Beachler
- Marriage & Family Therapist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT137973
- Practice address
- 4500 E Pacific Coast Hwy
Long Beach, CA 90804-3275 - Phone
- (562) 344-1140
- NPI assigned
- Dec 5, 2018
- Last updated
- Mar 29, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT126097 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT137973 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
4500 E Pacific Coast Hwy
Long Beach, CA 90804-3275
Mailing address
4500 E Pacific Coast Hwy
Long Beach, CA 90804-3275
Phone (562) 344-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT126097 | CA | MD | Marriage & Family Therapist |
| LMFT137973 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Q Psychology Group, a Psychological Corporation | Current | Accepting new patients | |
| Sud Specialty Group - Ca | Marriage & Family Therapist | Current | Accepting new patients |
| Southern California Health & Rehabilitation Program | Past | Accepting new patients | |
| Action Orthopedic Company, LLC | Past | Accepting new patients |
Locations
225 Avenue I
Ste 204
Redondo Beach, CA 90277
Phone (310) 855-3288
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
23332 Hawthorne Blvd
Ste 304
Torrance, CA 90505
Phone (424) 903-6520
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rula Health
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
Marriage & Family Therapist
-
- Clinical Psychologist
- Redondo Beach, CA
- NPI 1649733866
-
- Prosthetic/Orthotic Supplier
- Torrance, CA
- NPI 1942732730
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1467775221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1962972794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 E PACIFIC COAST HWY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043275",
"telephone_number": "562-344-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E PACIFIC COAST HWY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043275",
"telephone_number": "562-344-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACHLER",
"first_name": "KRYSTAL",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT126097",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT137973",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- Beach Medical Group Inc (Bech Medical Assoc. Inc)
- Beach Orthopedic and Neurosurgical Associates a Professional Corp
- Beach Physical Medicine PC
- Beach Side Birth Center Long Beach
- Beach Specialty Medical Group
- Scott Beachley, LMT
- Valerie Eden Beachley, MASSAGE THERAPY
- Beachside Family Counseling
- Annabelle Beal
- Ryan Beall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.