Tabernacle of Faith Baptist

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TABERNACLE OF FAITH BAPTIST

Practice address

11328 S Central Ave
Los Angeles, CA 90059-1642

Phone

(323) 569-4062

NPI assigned

Jan 27, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Rickey A Hodges Jr.NPI 1891541389

Title

Ceo

Phone

(323) 569-4062

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rickey Hodges

  • Addiction (Substance Use Disorder) Counselor
  • Hawthorne, CA
  • NPI 1891541389
  NPD Authorized official

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1114876612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11328 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591642",
            "telephone_number": "323-569-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11328 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591642",
            "telephone_number": "323-569-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABERNACLE OF FAITH BAPTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-569-4062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Tabariai, D.M.D.
• Ariel Tabarzia
• Sabeeha Tabassum
• Sajeeda Tabassum
• Ramin R Tabatabai, M.D.
• Alireza Tabesh, MD
• Reza Tabesh, D.D.S.
• Girlsehense Oben Tabi
• Shirin M Tabib, PSY.D., LMFT
• Siamak Tabib, M.D.

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.