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LISA JANE TODD PETERSEN
NPI 1013422906
Marriage & Family Therapist in Manhattan Beach, CA

Active since December 13, 2017
515 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266(310) 429-6372 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Jane Todd Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA JANE TODD PETERSEN (NPI 1013422906) is an individual marriage & family therapist in Manhattan Beach, California, licensed in California (103755) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1013422906
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLISA JANE TODD PETERSEN
Location Address515 N SEPULVEDA BLVDManhattan Beach, CA 90266-6748
Mailing Address1417 Manhattan Beach BlvdManhattan Beach, CA 90266-6116 · (310) 429-6372
Phone(310) 429-6372
Sole ProprietorYes
Enumeration DateDecember 13, 2017
✔ NPI 1013422906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 103755
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
515 N SEPULVEDA BLVD, Manhattan Beach, CA 90266
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD L. WILLIAMS DDS
Dentist
515 N SEPULVEDA BLVD, SUITE C
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 318-5512
DR. ALICE MARIE GROB D.C.
Chiropractor
515 N SEPULVEDA BLVD, SUITE B
MANHATTAN BEACH, CA 90266
Los Angeles County (310) 686-0370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Todd Petersen's NPI number?

The NPI number for Lisa Todd Petersen is 1013422906. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Where is Lisa Todd Petersen located?

Lisa Todd Petersen practices at 515 N Sepulveda Blvd, Manhattan Beach, CA 90266. The listed phone number is (310) 429-6372.

What is Lisa Todd Petersen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Lisa Todd Petersen was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.