Active NPI
Kelley Joyce Lewis, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1093847337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT50297
- Practice address
- 12021 Wilmington Ave
Los Angeles, CA 90059-3019 - Phone
- (323) 495-6521
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT50297 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT50297 | CA | Primary |
Addresses
Primary practice location
12021 Wilmington Ave
Los Angeles, CA 90059-3019
Mailing address
PO Box 3228
Gardena, CA 90247-1428
Phone (323) 495-6521
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT50297 | CA | MD | Mental Health Counselor |
| LMFT50297 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emblaze Family Therapy Inc | Mental Health | Current | Accepting new patients |
| Onyx Counseling and Trauma Family Therapy Professional Corporation | Marriage & Family Therapist | Past | Accepting new patients |
Locations
16300 Crenshaw Blvd
Ste 208C
Torrance, CA 90504
Phone (818) 751-2008
107 W Main St
Ste 9
Visalia, CA 93291
Phone (559) 772-4677
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Hanford, CA
- NPI 1376134569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1093847337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3228",
"city": "GARDENA",
"state": "CA",
"postal_code": "902471428",
"telephone_number": "323-495-6521",
"fax_number": "866-219-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "323-495-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KELLEY",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2025-03-11",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT50297",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT50297",
"primary": true
}
],
"identifiers": [],
"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 Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.