Individual provider Active NPI

Dustin Kerrone, L.M.F.T.

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1205129079
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50038 Issued in CA
Practice address
7080 Hollywood Blvd Ste 801
Los Angeles, CA 90028-6935
Phone
(323) 309-5350
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 50038 CA Primary

Addresses

Primary practice location

7080 Hollywood Blvd Ste 801
Los Angeles, CA 90028-6935

Mailing address

7080 Hollywood Blvd Ste 801
Los Angeles, CA 90028-6935
Phone (323) 309-5350

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

LicenseStateTypeSpecialty
50038CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1205129079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD STE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286935",
            "telephone_number": "323-309-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD STE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286935",
            "telephone_number": "323-309-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERRONE",
        "first_name": "DUSTIN",
        "name_prefix": "Mr.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50038",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 26, 2011; 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.