Active NPI
Jeff Cowan, MA, LMFT
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1023591385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT107985
- Practice address
- 2501 Beverley Ave Apt 11
Santa Monica, CA 90405-3757 - Phone
- (310) 963-8864
- NPI assigned
- Sep 12, 2018
- Sex
- Male
- Sole proprietor
- No
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 | AMFT107985 | CA | Primary |
Addresses
Primary practice location
2501 Beverley Ave Apt 11
Santa Monica, CA 90405-3757
Mailing address
2501 Beverley Ave Apt 11
Santa Monica, CA 90405-3757
Phone (310) 963-8864
Other practice location 1
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 373-2400
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT107985 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1023591385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 BEVERLEY AVE APT 11",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053757",
"telephone_number": "310-963-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 BEVERLEY AVE APT 11",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053757",
"telephone_number": "310-963-8864"
}
],
"practiceLocations": [
{
"address_1": "3031 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900073033",
"country_code": "US",
"telephone_number": "323-373-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COWAN",
"first_name": "JEFF",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-12",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT107985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.