Janisha J Mickens, LMFT, 118274

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118274 Issued in CA

Practice address

1225 W 190TH St Ste 455H
Gardena, CA 90248-4320

Phone

(310) 598-8048

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exodus Recovery IncGroup PAC ID 2668467341, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Exodus Recovery Inc

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1245441906
  Medicare reassignment Care Compare group NPD
• The Happy Marriage & Family Therapist Incorportated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gardena, CA
  • NPI 1962173815
  NPD Authorized official
• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1174300412
  NPD
• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1356711436
  NPD

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1225520471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 455H",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484320",
            "telephone_number": "310-598-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 455H",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484320",
            "telephone_number": "310-598-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902623513",
            "country_code": "US",
            "telephone_number": "323-312-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKENS",
        "first_name": "JANISHA",
        "middle_name": "J",
        "credential": "LMFT, 118274",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kobayashi, OD Professional Corporation
• Kristal Micheau
• Diana Michel Gonzales
• Ali Michel
• Masako Michishita
• Miken Health Services
• Lorine Mikheail
• Korey Renee Miller-Andrews
• Anira Miller
• Asia Miller

• Marriage & Family Therapist in Gardena, CA
• Providers in Gardena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.