Active NPI
Marise Lariviere, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1013408731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT106273
- Practice address
- 4448 Ambrose Ave
Los Angeles, CA 90027-2115 - Phone
- (323) 609-3672
- NPI assigned
- May 29, 2018
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | ATCB17430 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT106273 | CA | Primary |
Addresses
Primary practice location
4448 Ambrose Ave
Los Angeles, CA 90027-2115
Mailing address
2558 N Catalina St
Los Angeles, CA 90027-1133
Phone (415) 320-2589
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 |
|---|---|---|---|
| LMFT106273 | CA | MD | Marriage & Family Therapist |
| ATCB17430 | CA | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1013408731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2558 N CATALINA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271133",
"telephone_number": "415-320-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4448 AMBROSE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272115",
"telephone_number": "323-609-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIVIERE",
"first_name": "MARISE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "CA",
"license": "ATCB17430",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT106273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.