Individual provider Active NPI

Jeremy Uresse

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1144114810
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
155040 Issued in CA
Practice address
10850 Wilshire Blvd Ste 1150
Los Angeles, CA 90024-4330
Phone
(424) 268-0471
NPI assigned
Jun 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 155040 CA Primary

Addresses

Primary practice location

10850 Wilshire Blvd Ste 1150
Los Angeles, CA 90024-4330

Mailing address

8033 W Sunset Blvd # 133
Los Angeles, CA 90046-2401

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
155040CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Psychological Services Inc CurrentSince Sep 8, 2025 Accepting new patients

Locations

10850 Wilshire Blvd
Ste 1150
Los Angeles, CA 90024
Phone (310) 470-7100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1144114810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 W SUNSET BLVD # 133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 WILSHIRE BLVD STE 1150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244330",
            "telephone_number": "424-268-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URESSE",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "155040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 5, 2025; 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.