Individual provider Active NPI

Jane Lu, MFT-INTERN

  • Marriage & Family Therapist
  • Cerritos, CA
National Provider Identifier
1124269949
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT92656 Issued in CA
Practice address
11050 Artesia Blvd Ste F
Cerritos, CA 90703-2542
Phone
(562) 860-8838
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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
Marriage & Family Therapist 106H00000X MFT92656 CA Primary

Addresses

Primary practice location

11050 Artesia Blvd Ste F
Cerritos, CA 90703-2542

Mailing address

12125 179TH St
Artesia, CA 90701-4130
Phone (562) 924-8168

Other practice location 1

11927 Elliott Ave
El Monte, CA 91732-3740
Phone (626) 350-5304 ext. 527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT92656CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124269949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 179TH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014130",
            "telephone_number": "562-924-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 ARTESIA BLVD STE F",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032542",
            "telephone_number": "562-860-8838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11927 Elliott Ave",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917323740",
            "country_code": "US",
            "telephone_number": "626-350-5304 x527",
            "fax_number": "626-350-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "JANE",
        "credential": "MFT-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT92656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.