Individual provider Active NPI

Madoka Urhausen, M.F.T.

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1982730271
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39346 Issued in CA
Practice address
3450 E Spring St Ste C
Long Beach, CA 90806-2440
Phone
(562) 810-7746
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 MFC39346 CA Primary

Addresses

Primary practice location

3450 E Spring St Ste C
Long Beach, CA 90806-2440

Mailing address

3450 E Spring St Ste 113
Long Beach, CA 90806-2462
Phone (562) 810-7746

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
I20240926002129 CA Practitioner - Marriage and Family Therapist 7315389475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of InyoGroup PAC ID 1052457561, 4 clinicians

Practice addresses (Care Compare)

1360 N Main St
Bishop, CA 93514-3013

PO Box H
Independence, CA 93526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39346CAMDBehavioral Analyst
MFC39346CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Inyo CurrentSince Apr 26, 2024 Accepting new patients
County of Inyo CurrentSince Apr 26, 2024 Accepting new patients

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1982730271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E SPRING ST STE 113",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062462",
            "telephone_number": "562-810-7746",
            "fax_number": "562-810-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E SPRING ST STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062440",
            "telephone_number": "562-810-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URHAUSEN",
        "first_name": "MADOKA",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.