Christine Kelly Macinnis, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

46382 Issued in CA

Practice address

22751 Hawthorne Blvd Ste 204
Torrance, CA 90505-3613

Phone

(310) 683-9047

NPI assigned

Feb 28, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• CKM Clinical Consulting Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Torrance, CA
  • NPI 1700534260
  NPD Authorized official

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1982144648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 STEVEANN ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035362",
            "telephone_number": "310-683-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 HAWTHORNE BLVD STE 204",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053613",
            "telephone_number": "310-683-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902542751",
            "country_code": "US",
            "telephone_number": "310-683-9047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3838 W Carson St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905036710",
            "country_code": "US",
            "telephone_number": "310-683-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACINNIS",
        "first_name": "CHRISTINE",
        "middle_name": "KELLY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Machado
• Raul Macias Gil, M.D.
• Brandi Macias
• Brittany Macias, BCBA
• Mayra P Maciel
• Camille Elena Mack, LMFT
• Steven Bryan Maclean, MD
• Anna Rose Macmillan
• Ryann Macmurdo, OTR/L OTD
• Anne Thauryn Macrohon

• Marriage & Family Therapist in Torrance, CA
• Providers in Torrance, 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 Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.