Active NPI
Miriam Mimi Hunter, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1184384604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 26035
- Practice address
- 11911 San Vicente Blvd Ste 280
Los Angeles, CA 90049-6611 - Phone
- (310) 430-3260
- NPI assigned
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 26035 | CA | Primary |
Addresses
Primary practice location
11911 San Vicente Blvd Ste 280
Los Angeles, CA 90049-6611
Mailing address
PO Box 602
Pacific Palisades, CA 90272-0602
Phone (310) 430-3260
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | unsure | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26035 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1184384604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902720602",
"telephone_number": "310-430-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 SAN VICENTE BLVD STE 280",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496611",
"telephone_number": "310-430-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "MIRIAM",
"middle_name": "MIMI",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2021-12-23",
"certification_date": "2021-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "26035",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "unsure",
"affiliation": "N",
"endpointDescription": "unsure",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "unsure",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office",
"address_1": "11911 San Vicente Blvd #280",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "90049",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.