MR. MIKE JAE YOUNG CHANG M.A
NPI 1023319621
Marriage & Family Therapist in Los Angeles, CA
About Mr. Mike Jae Young Chang M.a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MIKE JAE YOUNG CHANG M.A (NPI 1023319621) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMF86321) and active in the NPI registry since November 2010. He has opted out of Medicare through May 26, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Mike Jae Young Chang M.a has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 26, 2026 through May 26, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90007
LOS ANGELES, CA 90007
LOS ANGELES, CA 90007
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 Mike Chang's NPI number?
The NPI number for Mike Chang is 1023319621. It was assigned to this individual provider in the NPPES registry on November 12, 2010.
Where is Mike Chang located?
Mike Chang practices at 1910 Magnolia Ave, Los Angeles, CA 90007. The listed phone number is (213) 342-0100.
What is Mike Chang's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mike Chang enrolled in Medicare?
No. Mike Chang has opted out of Medicare through May 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Mike Chang accept?
Health plans from Providence Health Plan list Mike Chang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mike Chang was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mr. Mike Jae Young Chang, M.A · NPI 1023319621
Marriage & Family Therapist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 12, 2010.
## Identity
- **NPI:** 1023319621 (Entity type: Individual)
- **Enumerated:** November 12, 2010
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMF86321 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1910 MAGNOLIA AVE, Los Angeles, CA 90007-1220
- **Phone:** (213) 342-0100
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 29, 2015
- **Other identifiers:** Medicaid 00007300 (CA); Medicaid 00007782 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1023319621) · Data from the CMS NPPES public registry.