Active NPI
Courtney Alexis Adams, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1205593936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112711
- Practice address
- 1625 Crenshaw Blvd Apt 304
Los Angeles, CA 90019-6064 - Phone
- (901) 605-2798
- NPI assigned
- Nov 17, 2021
- Last updated
- Jan 3, 2022
- 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 | 112711 | CA | Primary |
Addresses
Primary practice location
1625 Crenshaw Blvd Apt 304
Los Angeles, CA 90019-6064
Mailing address
1625 Crenshaw Blvd Apt 304
Los Angeles, CA 90019-6064
Phone (901) 605-2798
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 |
|---|---|---|---|
| 112711 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1205593936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 CRENSHAW BLVD APT 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900196064",
"telephone_number": "901-605-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 CRENSHAW BLVD APT 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900196064",
"telephone_number": "901-605-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "COURTNEY",
"middle_name": "ALEXIS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2022-01-03",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112711",
"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 Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.