Miven Trageser, la Child Therapist

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1339 Issued in CA

Legal business name

MIVEN TRAGESER, LA CHILD THERAPIST

Practice address

6310 San Vicente Blvd Ste 415
Los Angeles, CA 90048-5457

Phone

(323) 717-6803

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Miven Booth Trageser, LMFT, LPCCNPI 1508157694

Title

Principal

Phone

(323) 813-8238

Specialties & licenses 3

Addresses

Other names 1

• Miven Trageser, MFT Other name

Locations

Practitioners 1

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

• Miven Booth Trageser, LMFT, LPCC

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1508157694

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1104330547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485457",
            "telephone_number": "323-717-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485457",
            "telephone_number": "323-717-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIVEN TRAGESER, LA CHILD THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "TRAGESER",
        "authorized_official_first_name": "MIVEN",
        "authorized_official_middle_name": "BOOTH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "323-813-8238",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT, LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "1339",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "1339",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miven Trageser, MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.