Active NPI
Lifting the Veil
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1184188948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIFTING THE VEIL
- Practice address
- 9819 Avalon Blvd
Los Angeles, CA 90003-4339 - Phone
- (310) 906-8510
- NPI assigned
- Jan 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Byron L Smith Sr, M.A.,M.DIV.
- Title
- Ceo
- Phone
- (310) 906-8510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9819 Avalon Blvd
Los Angeles, CA 90003-4339
Mailing address
20209 Hillford Ave
Carson, CA 90746-3115
Phone (310) 906-8510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCCI2672 | Other | CA | OTHER |
National Provider Directory
National Provider DirectoryLocations
9819 Avalon Blvd
Los Angeles, CA 90003
Phone (310) 906-8510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548374400000",
"number": "1184188948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20209 HILLFORD AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907463115",
"telephone_number": "310-906-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9819 AVALON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900034339",
"telephone_number": "310-906-8510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFTING THE VEIL",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-25",
"status": "A",
"authorized_official_last_name": "SMITH SR",
"authorized_official_first_name": "BYRON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-906-8510",
"authorized_official_credential": "M.A.,M.DIV."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "PCCI2672",
"state": "CA"
}
],
"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 Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.