Active NPI
Isoke Nabawi
- Professional Counselor
- Los Angeles, CA
National Provider Identifier
1013452432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12827
- Practice address
- 5849 Crocker St
Los Angeles, CA 90003-1311 - Phone
- (323) 234-4445
- Fax
- (323) 234-4477
- NPI assigned
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 96556 | CA | |
| Professional Counselor | 101YP2500X | 12827 | CA | Primary |
Addresses
Primary practice location
5849 Crocker St
Los Angeles, CA 90003-1311
Mailing address
3737 Martin Luther King Jr Blvd
Lynwood, CA 90262-3513
Phone (323) 249-2950
Other practice location 1
3737 Martin Luther King Jr Blvd
Lynwood, CA 90262-3513
Phone (323) 249-2950
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 |
|---|---|---|---|
| 12827 | CA | MD | Professional Counselor |
| 96556 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1013452432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623513",
"telephone_number": "323-249-2950",
"fax_number": "310-609-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5849 CROCKER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900031311",
"telephone_number": "323-234-4445",
"fax_number": "323-234-4477"
}
],
"practiceLocations": [
{
"address_1": "3737 Martin Luther King Jr Blvd",
"address_purpose": "LOCATION",
"city": "Lynwood",
"state": "CA",
"postal_code": "902623513",
"country_code": "US",
"telephone_number": "323-249-2950",
"fax_number": "310-609-0301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NABAWI",
"first_name": "ISOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "96556",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "12827",
"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 Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.