Organization Active NPI

Rachel Ryan Licensed Clinical Social Worker, Inc

Doing business as Therapy With Rachel

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1225740715
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RACHEL RYAN LICENSED CLINICAL SOCIAL WORKER, INC
Doing business as
Therapy With Rachel
Practice address
11812 San Vicente Blvd Ste 600
Los Angeles, CA 90049-5082
Phone
(562) 246-9606
NPI assigned
Dec 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Rachel Ryan, LCSWNPI 1467965533
Title
Founder
Phone
(562) 246-9606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11812 San Vicente Blvd Ste 600
Los Angeles, CA 90049-5082

Mailing address

3515 Atlantic Ave # 1146
Long Beach, CA 90807-4515

Other practice location 1

5150 E Pacific Coast Hwy
Long Beach, CA 90804-3312
Phone (562) 246-9606

Other names 1

  • Therapy With Rachel Doing business as

National Provider Directory

National Provider Directory

Locations

5150 E Pacific Coast Hwy
Long Beach, CA 90804
Phone (562) 490-7603

11812 San Vicente Blvd
Ste 600
Los Angeles, CA 90049
Phone (562) 246-9606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1225740715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 ATLANTIC AVE # 1146",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 SAN VICENTE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495082",
            "telephone_number": "562-246-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 E Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908043312",
            "country_code": "US",
            "telephone_number": "562-246-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RACHEL RYAN LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "562-246-9606",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy With Rachel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2024; 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.