Joanna Missry, MCSW,CDP,MSW,MHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CDP 0271113 -MHP Issued in CA

Practice address

9465 Wilshire Blvd # 300
Beverly Hills, CA 90212-2612

Phone

(323) 696-1826

NPI assigned

Jan 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1053701169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 WILSHIRE BLVD # 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122612",
            "telephone_number": "323-696-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 WILSHIRE BLVD # 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122612",
            "telephone_number": "323-696-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSRY",
        "first_name": "JOANNA",
        "credential": "MCSW,CDP,MSW,MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CDP 0271113",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "DDMHP, CDP 027113",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "CDP 0271113  -MHP",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "CDP 0271113  -MHP",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mise Medical, Inc., a Professional Corporation
• Shiva Mishaeel
• Mission Addiction Treatment, LLC
• Mission Care Medical, Inc.
• Danielle Missler, MFT
• Krystal Mitchell, MD
• Danielle Cara Mitock, LMFT
• Joel D Mittleman, M.D.,
• Michael Tetsuya Miyazaki, D.O.
• Parvaz Farnad Mizrahi, D.D.S.

• Professional Counselor in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.