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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARK ANTHONY THIBODEAU SR.
NPI 1700701844
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since August 10, 2026
2521 LONG BEACH AVE, LOS ANGELES, CA 90058(213) 389-1500 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Anthony Thibodeau Sr. NPPES

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

MARK ANTHONY THIBODEAU SR. (NPI 1700701844) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1700701844
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK ANTHONY THIBODEAU SR.
Location Address2521 LONG BEACH AVELos Angeles, CA 90058-1324
Mailing Address2521 Long Beach AveLos Angeles, CA 90058-1324
Phone(213) 389-1500
Sole ProprietorNo
Enumeration DateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
✔ NPI 1700701844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2521 LONG BEACH AVE, Los Angeles, CA 90058
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Other Providers at the Same Location NPPES 10

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

VOLUNTEERS OF AMERICA OF LOS ANGELES
Substance Abuse Rehabilitation Facility
2521 LONG BEACH AVE
LOS ANGELES, CA 90058
Los Angeles County (213) 389-1500
FRANCISCO JAVIER RANGEL
Counselor (Addiction (Substance Use Disorder))
2521 LONG BEACH AVE
LOS ANGELES, CA 90058
Los Angeles County (213) 542-4520
GAVIN ULRIC ANDERSON
Counselor (Addiction (Substance Use Disorder))
2521 LONG BEACH AVE
LOS ANGELES, CA 90058
Los Angeles County (760) 905-8063
TUAN TINSLEY CADTP SUDRC
Counselor (Addiction (Substance Use Disorder))
2521 LONG BEACH AVE
LOS ANGELES, CA 90058
Los Angeles County (213) 529-0963
JOSE LUIS NARANJO SUDRC# 25753
Counselor (Addiction (Substance Use Disorder))
2521 LONG BEACH AVE
LOS ANGELES, CA 90058
Los Angeles County (213) 264-5648
JORGE RODRIGUEZ RADT
Counselor (Addiction (Substance Use Disorder))
2521 LONG BEACH AVE
LOS ANGELES, CA 90058
Los Angeles County (213) 529-0963
RYAN MITCHELL STACEY CCAPP RT1441630426
Counselor (Addiction (Substance Use Disorder))
2521 LONG BEACH AVE
LOS ANGELES, CA 90058
Los Angeles County (817) 962-6408
MR. RUDIS BALMORE TORRES JR.
Counselor (Addiction (Substance Use Disorder))
2521 LONG BEACH AVE
LOS ANGELES, CA 90058
Los Angeles County (213) 251-7612

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 Mark Thibodeau's NPI number?

The NPI number for Mark Thibodeau is 1700701844. It was assigned to this individual provider in the NPPES registry on August 10, 2026.

Where is Mark Thibodeau located?

Mark Thibodeau practices at 2521 Long Beach Ave, Los Angeles, CA 90058. The listed phone number is (213) 389-1500.

What is Mark Thibodeau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Thibodeau was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.