NPIMap

Organization Active NPI

Venture Wellness Corp

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1124836291
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
VENTURE WELLNESS CORP
Doing business as
Venture Wellness
Practice address
12304 Santa Monica Blvd Ste 327
Los Angeles, CA 90025-7207
Phone
(314) 312-2201
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Lauren Bailey, LMFT
Title
Director
Phone
(314) 312-2201

Specialties & licenses 1

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

Addresses

Primary practice location

12304 Santa Monica Blvd Ste 327
Los Angeles, CA 90025-7207

Mailing address

12304 Santa Monica Blvd Ste 327
Los Angeles, CA 90025-7207
Phone (314) 312-2201

Other names 1

  • Venture Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

12304 Santa Monica Blvd
Ste 327
Los Angeles, CA 90025
Phone (310) 625-1629

Practitioners & affiliated clinicians

Practitioners 5

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": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1124836291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 327",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257207",
            "telephone_number": "314-312-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 327",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257207",
            "telephone_number": "314-312-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURE WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-312-2201",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venture Wellness",
            "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 20, 2024; 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.