Individual provider Active NPI

Yvonne Janette Co, LMFT 128802

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1023659083
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
128802 Issued in CA
Practice address
5731 W Slauson Ave Ste 220
Culver City, CA 90230-6984
Phone
(888) 851-5595
Fax
(888) 231-5872
NPI assigned
Oct 1, 2019
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 128802 CA Primary

Addresses

Primary practice location

5731 W Slauson Ave Ste 220
Culver City, CA 90230-6984

Mailing address

5731 W Slauson Ave Ste 220
Culver City, CA 90230-6984
Phone (888) 085-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 2, 2024 through Mar 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128802CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1023659083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 W SLAUSON AVE STE 220",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306984",
            "telephone_number": "888-085-1559",
            "fax_number": "888-231-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 W SLAUSON AVE STE 220",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306984",
            "telephone_number": "888-851-5595",
            "fax_number": "888-231-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO",
        "first_name": "YVONNE",
        "middle_name": "JANETTE",
        "name_prefix": "Ms.",
        "credential": "LMFT 128802",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.