Individual provider Active NPI

Samantha Breen

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1013781467
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142583 Issued in CA
Practice address
13101 W Washington Blvd Ste 230
Los Angeles, CA 90066-8128
Phone
(323) 250-0239
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 142583 CA Primary

Addresses

Primary practice location

13101 W Washington Blvd Ste 230
Los Angeles, CA 90066-8128

Mailing address

13101 W Washington Blvd Ste 230
Los Angeles, CA 90066-8128

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

LicenseStateTypeSpecialty
142583CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Breen, Licensed Marriage and Family Therapist, Inc. CurrentSince Jan 28, 2024 Accepting new patients

Locations

13101 W Washington Blvd
Ste 230
Los Angeles, CA 90066
Phone (310) 363-0180

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1013781467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900668128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900668128",
            "telephone_number": "323-250-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142583",
            "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 Nov 7, 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.

Verify at the official NPI Registry.