Organization Active NPI

Jeremy Larson Marriage and Family Therapy Inc.

  • Marriage & Family Therapist
  • Cerritos, CA
National Provider Identifier
1063339174
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JEREMY LARSON MARRIAGE AND FAMILY THERAPY INC.
Practice address
18122 Carmenita Rd Unit 3643
Cerritos, CA 90703-9998
Phone
(562) 232-9688
NPI assigned
Jun 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Jeremy Larson, LMFT, CSATNPI 1750975314
Title
Ceo/President
Phone
(562) 232-9688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

18122 Carmenita Rd Unit 3643
Cerritos, CA 90703-9998

Mailing address

18122 Carmenita Rd Unit 3643
Cerritos, CA 90703-9998
Phone (562) 232-9688

National Provider Directory

National Provider Directory

Locations

18122 Carmenita Rd
Unit 3643
Cerritos, CA 90703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1063339174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18122 CARMENITA RD UNIT 3643",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039998",
            "telephone_number": "562-232-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18122 CARMENITA RD UNIT 3643",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039998",
            "telephone_number": "562-232-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY LARSON MARRIAGE AND FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "562-232-9688",
        "authorized_official_credential": "LMFT, CSAT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.