Individual provider Active NPI

Michael Mazzarino, LMFT, LAADC

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1982019352
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102259 Issued in CA
Practice address
5150 E Pacific Coast Hwy Ste 200
Long Beach, CA 90804-3399
Phone
(562) 335-9497
Fax
(657) 339-3050
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 102259 CA Primary

Addresses

Primary practice location

5150 E Pacific Coast Hwy Ste 200
Long Beach, CA 90804-3399

Mailing address

5150 E Pacific Coast Hwy Ste 200
Long Beach, CA 90804-3399
Phone (562) 335-9497

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305003076 CA Practitioner - Marriage and Family Therapist 4688195787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102259CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Family Counseling Inc Marriage & Family Therapist CurrentSince Jan 26, 2025 Accepting new patients
Western Youth Services Past Accepting new patients

Locations

1901 Newport Blvd
Ste 350
Costa Mesa, CA 92627
Phone (949) 385-1449

5150 E Pacific Coast Hwy
Ste 200
Long Beach, CA 90804
Phone (562) 285-3542

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1982019352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E PACIFIC COAST HWY STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043399",
            "telephone_number": "562-335-9497",
            "fax_number": "657-339-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E PACIFIC COAST HWY STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043399",
            "telephone_number": "562-335-9497",
            "fax_number": "657-339-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARINO",
        "first_name": "MICHAEL",
        "credential": "LMFT, LAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.