Individual provider Active NPI

Lilly Canot

  • Professional Counselor
  • Long Beach, CA
National Provider Identifier
1063982650
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC14106 Issued in CA
Practice address
4500 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804-3233
Phone
(310) 562-3444
NPI assigned
Nov 27, 2018
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APCC4831 CA
Professional Counselor 101YP2500X LPCC14106 CA Primary

Addresses

Primary practice location

4500 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804-3233

Mailing address

4500 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804-3233
Phone (310) 562-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626004029 CA Practitioner - Mental Health Counselor 9537603964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APCC4831CAMDProfessional Counselor
LPCC14106CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1063982650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E PACIFIC COAST HWY STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043233",
            "telephone_number": "310-562-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E PACIFIC COAST HWY STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043233",
            "telephone_number": "310-562-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOT",
        "first_name": "LILLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC4831",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC14106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.