Individual provider Active NPI

Terra Friedman

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1205517810
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139523 Issued in CA
Practice address
2904 W Sunset Blvd Ste 6
Los Angeles, CA 90026-7308
Phone
(213) 534-7013
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 139523 CA Primary

Addresses

Primary practice location

2904 W Sunset Blvd Ste 6
Los Angeles, CA 90026-7308

Mailing address

254 N Lake Ave
P.O. Box 138
Pasadena, CA 91101
Phone (818) 577-9460

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
139523CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Space Psychotherapy Collective Marriage & Family Therapist CurrentSince Jul 31, 2023 Accepting new patients

Locations

2904 W Sunset Blvd
Ste 6
Los Angeles, CA 90026
Phone (213) 495-0970

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1205517810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 N LAKE AVE",
            "address_2": "P.O. BOX 138",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "818-577-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 W SUNSET BLVD STE 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267308",
            "telephone_number": "213-534-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "TERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139523",
            "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 Jul 26, 2023; 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.