NPIMap

Organization Active NPI

Pacific West Counseling Center Inc

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1124449889
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
31664 Issued in CA
Legal business name
PACIFIC WEST COUNSELING CENTER INC
Practice address
6399 Wilshire Blvd
Suite 312
Los Angeles, CA 90048-5703
Phone
(323) 651-5828
Fax
(818) 981-0649
NPI assigned
Dec 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Mick Arthur Wood, AA
Title
Director
Phone
(818) 623-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 31664 CA Primary

Addresses

Primary practice location

6399 Wilshire Blvd
Suite 312
Los Angeles, CA 90048-5703

Mailing address

13636 Ventura Blvd
Suite 472
Sherman Oaks, CA 91423-3700
Phone (818) 623-4224

Other names 1

  • Wilshire Therapy Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1124449889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 VENTURA BLVD",
            "address_2": "SUITE 472",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233700",
            "telephone_number": "818-623-4224",
            "fax_number": "818-981-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD",
            "address_2": "SUITE 312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485703",
            "telephone_number": "323-651-5828",
            "fax_number": "818-981-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WEST COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MICK",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-623-4224",
        "authorized_official_credential": "AA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "31664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 2013; 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.