Ievolve Transformational Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

97773 Issued in CA

Legal business name

IEVOLVE TRANSFORMATIONAL SERVICES

Practice address

520 S Grand Ave
Suite 680
Los Angeles, CA 90071-2600

Phone

(800) 967-9416

Fax

(800) 967-9416

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kongit Farrell, M.A., L.M.F.TNPI 1609094382

Title

Ceo / Lead Clinician

Phone

(800) 967-9416

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kongit Farrell, L.M.F.T.

  • Mental Health Counselor
  • The Woodlands, TX
  • NPI 1609094382
  NPD (past) Authorized official

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1194263103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S GRAND AVE",
            "address_2": "SUITE 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712600",
            "telephone_number": "800-967-9416",
            "fax_number": "800-967-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S GRAND AVE",
            "address_2": "SUITE 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712600",
            "telephone_number": "800-967-9416",
            "fax_number": "800-967-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IEVOLVE TRANSFORMATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "KONGIT",
        "authorized_official_title_or_position": "CEO / LEAD CLINICIAN",
        "authorized_official_telephone_number": "800-967-9416",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., L.M.F.T"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chantal Tami Ifrah, MFT INTERN
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• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.