Active NPI
Laurie Patricia McDonough, LMFT/LICENSED MARRAG
- Marriage & Family Therapist
- Glendale, CA
National Provider Identifier
1023173010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT 40432
- Practice address
- 100 N. Brand Blvd., Suite 600
Laurie McDonough, LMFT
Glendale, CA 91203 - Phone
- (818) 476-0077
- Fax
- (818) 240-3041
- NPI assigned
- Dec 27, 2006
- Last updated
- Feb 3, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 40432 | CA | Primary |
Addresses
Primary practice location
100 N. Brand Blvd., Suite 600
Laurie McDonough, LMFT
Glendale, CA 91203
Mailing address
100 N. Brand Blvd., Suite 600
Laurie McDonough, LMFT
Glendale, CA 91203
Phone (818) 476-0077
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 |
|---|---|---|---|
| MFT 40432 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1023173010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N. BRAND BLVD., SUITE 600",
"address_2": "LAURIE MCDONOUGH, LMFT",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-476-0077",
"fax_number": "818-240-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N. BRAND BLVD., SUITE 600",
"address_2": "LAURIE MCDONOUGH, LMFT",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-476-0077",
"fax_number": "818-240-3041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "LAURIE",
"middle_name": "PATRICIA",
"credential": "LMFT/LICENSED MARRAG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 40432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.