Individual provider Active NPI

Joon Beom Lee, ASW-REGISTERED

  • Mental Health Counselor
  • La, CA
National Provider Identifier
1114167160
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW68761 Issued in CA
Practice address
520 So. Lafayette Park Place
La, CA 90057-5400
Phone
(213) 252-2100
Fax
(213) 383-3146
NPI assigned
Mar 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW68761 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

520 So. Lafayette Park Place
La, CA 90057-5400

Mailing address

520 So. Lafayette Park Place
La, CA 90057-5400
Phone (213) 252-2100

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

LicenseStateTypeSpecialty
ASW68761CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1114167160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SO. LAFAYETTE PARK PLACE",
            "city": "LA",
            "state": "CA",
            "postal_code": "900575400",
            "telephone_number": "213-252-2100",
            "fax_number": "213-383-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SO. LAFAYETTE PARK PLACE",
            "city": "LA",
            "state": "CA",
            "postal_code": "900575400",
            "telephone_number": "213-252-2100",
            "fax_number": "213-383-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOON",
        "middle_name": "BEOM",
        "name_prefix": "Mr.",
        "credential": "ASW-REGISTERED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW68761",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.