Active NPI
Kathryn Phillips, LMFT 134447
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1215522271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 134447
- Practice address
- 2310 Lake Shore Ave
Los Angeles, CA 90039-3944 - Phone
- (773) 392-3809
- NPI assigned
- Mar 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 134447 | CA | Primary |
Addresses
Primary practice location
2310 Lake Shore Ave
Los Angeles, CA 90039-3944
Mailing address
2310 Lake Shore Ave
Los Angeles, CA 90039-3944
Phone (213) 245-1861
Other practice location 1
3371 Glendale Blvd Ste 214
Los Angeles, CA 90039-1857
Phone (323) 487-9003
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 |
|---|---|---|---|
| 134447 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1215522271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 LAKE SHORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900393944",
"telephone_number": "213-245-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 LAKE SHORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900393944",
"telephone_number": "773-392-3809"
}
],
"practiceLocations": [
{
"address_1": "3371 Glendale Blvd Ste 214",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900391857",
"country_code": "US",
"telephone_number": "323-487-9003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "KATHRYN",
"credential": "LMFT 134447",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2023-10-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "134447",
"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 Oct 3, 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.