Active NPI
Linda Mira Lawson
- Marriage & Family Therapist
- Pacific Palisades, CA
National Provider Identifier
1225326762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 33536
- Practice address
- 16730 Bollinger Dr
Pacific Palisades, CA 90272-3218 - Phone
- (310) 454-5138
- NPI assigned
- Jul 19, 2011
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 33536 | CA | |
| Marriage & Family Therapist | 106H00000X | 33536 | CA | Primary |
Addresses
Primary practice location
16730 Bollinger Dr
Pacific Palisades, CA 90272-3218
Mailing address
16730 Bollinger Drive
Pacific Palisades, CA 90272
Phone (310) 454-5138
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 |
|---|---|---|---|
| 33536 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1225326762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16730 BOLLINGER DRIVE",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "90272",
"telephone_number": "310-454-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16730 BOLLINGER DR",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723218",
"telephone_number": "310-454-5138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "LINDA",
"middle_name": "MIRA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "33536",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "33536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific Palisades, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.