MS. CHARLOTTE WIETHOFF-BRADLEY MFT
NPI 1518104389
Marriage & Family Therapist in Redondo Beach, CA

Q: What is Charlotte Wiethoff-bradley's NPI number?

The NPI number for Charlotte Wiethoff-bradley is 1518104389. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Q: What is Charlotte Wiethoff-bradley's specialty?

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

Q: Is Charlotte Wiethoff-bradley enrolled in Medicare?

No. Charlotte Wiethoff-bradley has opted out of Medicare through January 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since January 14, 2009Opted out of Medicare · through Jan 29, 2028

1200 AVIATION BLVD STE 102, REDONDO BEACH, CA 90278(310) 372-4245(310) 379-6407 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Ms. Charlotte Wiethoff-bradley Mft NPPES

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

MS. CHARLOTTE WIETHOFF-BRADLEY MFT (NPI 1518104389) is an individual marriage & family therapist in Redondo Beach, California, licensed in California (46587) and active in the NPI registry since January 2009. She has opted out of Medicare through January 29, 2028.

NPPES Registry Identity

NPI1518104389

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. CHARLOTTE WIETHOFF-BRADLEYCredential: MFT

Location Address1200 AVIATION BLVD STE 102Redondo Beach, CA 90278-4064

Mailing Address703 Pier Ave Ste B196Hermosa Beach, CA 90254-3949 · (310) 612-6299 · Fax (310) 379-6407

Phone(310) 372-4245

Fax(310) 379-6407

Sole ProprietorNo

Enumeration DateJanuary 14, 2009

Last NPPES UpdateFebruary 16, 2015

✔ NPI 1518104389 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 · 46587

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.

1200 AVIATION BLVD STE 102, Redondo Beach, CA 90278

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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. Charlotte Wiethoff-bradley 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 29, 2024 through January 29, 2028.

Opt-Out Effective DateJanuary 29, 2024

Opt-Out In Effect ThroughJanuary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

SEAN LYNN, INDIVIDUAL AND FAMILY THERAPY, INC.

Counselor (Mental Health)