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BRIDGET QUEBODEAUX MFT
NPI 1679087688
Marriage & Family Therapist in Los Angeles, CA

Active since November 29, 2017Opted out of Medicare · through Jan 27, 2028
2532 BARRY AVE, LOS ANGELES, CA 90064(310) 475-6038 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2025, Nov 29, 2017 (2 updates tracked since 2017).

About Bridget Quebodeaux Mft NPPES

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

BRIDGET QUEBODEAUX MFT (NPI 1679087688) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT95062) and active in the NPI registry since November 2017. She has opted out of Medicare through January 27, 2028.

NPPES Registry Identity

NPI1679087688
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBRIDGET QUEBODEAUXCredential: MFT
Location Address2532 BARRY AVELos Angeles, CA 90064-2810
Mailing Address2532 Barry AveLos Angeles, CA 90064-2810 · (310) 403-3540
Phone(310) 475-6038
Sole ProprietorYes
Enumeration DateNovember 29, 2017
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1679087688 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 · LMFT95062
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.
2532 BARRY AVE, Los Angeles, CA 90064
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Bridget Quebodeaux 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 27, 2024 through January 27, 2028.

Opt-Out Effective DateJanuary 27, 2024
Opt-Out In Effect ThroughJanuary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Bridget Quebodeaux's NPI number?

The NPI number for Bridget Quebodeaux is 1679087688. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Bridget Quebodeaux located?

Bridget Quebodeaux practices at 2532 Barry Ave, Los Angeles, CA 90064. The listed phone number is (310) 475-6038.

What is Bridget Quebodeaux's specialty?

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

Is Bridget Quebodeaux enrolled in Medicare?

No. Bridget Quebodeaux has opted out of Medicare through January 27, 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 Bridget Quebodeaux was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.