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MS. MICHELLE LYNN FRYBACK MFT
NPI 1396893772
Marriage & Family Therapist in El Segundo, CA

Active since January 08, 2007Opted out of Medicare · through Jan 1, 2028
302 W GRAND AVE, STE #7, EL SEGUNDO, CA 90245(310) 784-7717(310) 326-1030 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Michelle Lynn Fryback Mft NPPES

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

MS. MICHELLE LYNN FRYBACK MFT (NPI 1396893772) is an individual marriage & family therapist in El Segundo, California, licensed in California (MFC39858) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1396893772
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. MICHELLE LYNN FRYBACKCredential: MFT
Location Address302 W GRAND AVE, STE #7El Segundo, CA 90245-3700
Mailing Address302 W Grand Ave, Ste #7El Segundo, CA 90245-3700 · (310) 784-7717 · Fax (310) 326-1030
Phone(310) 784-7717
Fax(310) 326-1030
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJanuary 5, 2012
✔ NPI 1396893772 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 · MFC39858
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.
302 W GRAND AVE, El Segundo, CA 90245
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Michelle Lynn Fryback Mft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

DR. EILEEN JOYCE BELL O.D.
Optometrist
302 W GRAND AVE, STE 1
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-9595
EILEEN J. BELL
Optometrist
302 W GRAND AVE, SUITE #1
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-9595
SHAYNE ANN VITEMB LMFT
Counselor (Mental Health)
302 W GRAND AVE, SUITE 7
EL SEGUNDO, CA 90245
Los Angeles County (310) 227-0201
VANESSA CAIN
Marriage & Family Therapist
302 W GRAND AVE
EL SEGUNDO, CA 90245
Los Angeles County (424) 237-8288
ALISON M GREINER LCSW
Social Worker (Clinical)
302 W GRAND AVE, SUITE 7
EL SEGUNDO, CA 90245
Los Angeles County (310) 784-7080

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 Michelle Fryback's NPI number?

The NPI number for Michelle Fryback is 1396893772. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Michelle Fryback located?

Michelle Fryback practices at 302 W Grand Ave Ste #7, El Segundo, CA 90245. The listed phone number is (310) 784-7717.

What is Michelle Fryback's specialty?

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

Is Michelle Fryback enrolled in Medicare?

No. Michelle Fryback has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Fryback was last updated on January 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.