Organization Active NPI

Lifting the Veil

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1184188948
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jan 25, 2019

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PCCI2672OtherCAOTHER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.