NPIMap

Organization Active NPI

Interior Design Firm - a Psychotherapy Practice Inc

  • Mental Health Counselor
  • Burbank, CA
National Provider Identifier
1194289975
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTERIOR DESIGN FIRM - A PSYCHOTHERAPY PRACTICE INC
Practice address
4421 W Riverside Dr Ste 102
Burbank, CA 91505-4051
Phone
(818) 748-8818
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Jennifer N Flores, LMFTNPI 1922401553
Title
Owner
Phone
(310) 740-0482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4421 W Riverside Dr Ste 102
Burbank, CA 91505-4051

Mailing address

4421 W Riverside Dr Ste 102
Burbank, CA 91505-4051
Phone (818) 748-8818

National Provider Directory

National Provider Directory

Locations

4421 W Riverside Dr
Ste 102
Burbank, CA 91505
Phone (818) 699-0907

Practitioners & affiliated clinicians

Practitioners 4

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

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": "1553472000000",
    "number": "1194289975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 W RIVERSIDE DR STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054051",
            "telephone_number": "818-748-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 W RIVERSIDE DR STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054051",
            "telephone_number": "818-748-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIOR DESIGN FIRM - A PSYCHOTHERAPY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-740-0482",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

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