Active NPI
Leticia Ross
- Professional Counselor
- Hawthorne, CA
National Provider Identifier
1003233412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 708 INTERN NUMBER
- Practice address
- 11616 Hawthorne Blvd
Suite 202
Hawthorne, CA 90250-2366 - Phone
- (323) 573-1128
- Fax
- (310) 645-0023
- NPI assigned
- Mar 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 708 INTERN NUMBER | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 77598 INTERN NUMBER | CA |
Addresses
Primary practice location
11616 Hawthorne Blvd
Suite 202
Hawthorne, CA 90250-2366
Mailing address
11616 Hawthorne Blvd
Suite 202
Hawthorne, CA 90250-2366
Phone (323) 573-1128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 708 INTERN NUMBER | CA | MD | Professional Counselor |
| 77598 INTERN NUMBER | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1003233412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11616 HAWTHORNE BLVD",
"address_2": "SUITE 202",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502366",
"telephone_number": "323-573-1128",
"fax_number": "310-645-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11616 HAWTHORNE BLVD",
"address_2": "SUITE 202",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502366",
"telephone_number": "323-573-1128",
"fax_number": "310-645-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LETICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "708 INTERN NUMBER",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "77598 INTERN NUMBER",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.