Individual provider Active NPI

Joel McLafferty, MFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1053524496
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 43113 Issued in CA
Practice address
1704 W Manchester Ave Ste 202a
Los Angeles, CA 90047
Phone
(424) 312-2311
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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 MFC 43113 CA Primary

Addresses

Primary practice location

1704 W Manchester Ave Ste 202a
Los Angeles, CA 90047

Mailing address

1704 W Manchester Ave Ste 202a
Los Angeles, CA 90047-3057
Phone (424) 312-2311

Other identifiers 1

IdentifierTypeStateIssuer
11811200OtherCAQH

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
MFC 43113CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westmont Counseling Center CurrentSince May 7, 2023 Accepting new patients

Locations

1704 W Manchester Ave
Ste 202A
Los Angeles, CA 90047
Phone (323) 531-0565

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1053524496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 202A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473057",
            "telephone_number": "424-312-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 202A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90047",
            "telephone_number": "424-312-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAFFERTY",
        "first_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11811200",
            "state": null
        }
    ],
    "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 Jul 31, 2018; 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.