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NICHOLAS MAHONEY REBEL AMFT
NPI 1174316541
Marriage & Family Therapist in Long Beach, CA

Active since May 27, 2025
3939 ATLANTIC AVE STE 102, LONG BEACH, CA 90807(562) 471-7710 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Mahoney Rebel Amft NPPES

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

NICHOLAS MAHONEY REBEL AMFT (NPI 1174316541) is an individual marriage & family therapist in Long Beach, California, licensed in California (153276) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1174316541
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameNICHOLAS MAHONEY REBELCredential: AMFT
Location Address3939 ATLANTIC AVE STE 102Long Beach, CA 90807-3535
Mailing Address415 Herondo St Apt 288Hermosa Beach, CA 90254-5512 · (651) 226-5058
Phone(562) 471-7710
Sole ProprietorNo
Enumeration DateMay 27, 2025
Last NPPES UpdateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1174316541 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 · 153276
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.
3939 ATLANTIC AVE STE 102, Long Beach, CA 90807
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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.

ELIEZEL RIVERA
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 263-4733
LORI WAY M.A.
Marriage & Family Therapist
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 249-5731
CHAD T SJULE RAC
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 350-9346
DESIREE ROSAS
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 471-7710
MS. STEPHANIE LYN KOONTZ
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 473-0830
DR. DIANA KANG PSYD
Psychologist (Clinical)
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 473-0827
ROOTS ADDICTION & PSYCHIATRY MEDICAL GROUP, PC
Clinic/Center (Adult Mental Health)
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 583-9345
MR. ROBERT ALLEN LAWVER M.A.
Counselor (Addiction (Substance Use Disorder))
3939 ATLANTIC AVE STE 102
LONG BEACH, CA 90807
Los Angeles County (562) 294-1728

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 Nicholas Rebel's NPI number?

The NPI number for Nicholas Rebel is 1174316541. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Nicholas Rebel located?

Nicholas Rebel practices at 3939 Atlantic Ave Ste 102, Long Beach, CA 90807. The listed phone number is (562) 471-7710.

What is Nicholas Rebel'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 Nicholas Rebel was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.