Organization Active NPI

Centered Individual & Family Counseling Inc

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1235512088
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 43235 Issued in CA
Legal business name
CENTERED INDIVIDUAL & FAMILY COUNSELING INC
Practice address
2716 S Vermont Ave
Unit 9
Los Angeles, CA 90007-2671
Phone
(310) 489-5322
NPI assigned
Jun 29, 2015
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Kathryn BryanNPI 1689841629
Title
Ceo/Owner
Phone
(323) 810-9233

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
Marriage & Family Therapist 106H00000X MFC 43235 CA Primary

Addresses

Primary practice location

2716 S Vermont Ave
Unit 9
Los Angeles, CA 90007-2671

Mailing address

2716 S Vermont Ave Ste 9
Los Angeles, CA 90007-2594
Phone (323) 810-9233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207003524 CA Part B Supplier - Clinic/Group Practice 7416390307 Receives reassigned benefits from 9 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1235512088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 S VERMONT AVE STE 9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072594",
            "telephone_number": "323-810-9233",
            "fax_number": "877-977-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 S VERMONT AVE",
            "address_2": "UNIT 9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072671",
            "telephone_number": "310-489-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED INDIVIDUAL & FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "323-810-9233"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43235",
            "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 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.