Individual provider Active NPI

Sarah Hyaeran Ko, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1235678244
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT141825 Issued in CA
Practice address
3727 W 6TH St
411
Los Angeles, CA 90020-5105
Phone
(213) 365-7400
Fax
(213) 201-3993
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT109353 CA
Community Health Worker 172V00000X
Marriage & Family Therapist 106H00000X LMFT141825 CA Primary

Addresses

Primary practice location

3727 W 6TH St
411
Los Angeles, CA 90020-5105

Mailing address

4802 New York Ave
La Crescenta, CA 91214-1843
Phone (818) 903-2015

Other practice location 1

600 St Paul Ave Ste 101
Los Angeles, CA 90017-5660
Phone (213) 483-3000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240521002160 CA Practitioner - Marriage and Family Therapist 3678915774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Special Service for Groups IncGroup PAC ID 2769396886, 61 clinicians
Jona Licensed Clinical Social Worker PCGroup PAC ID 8628592656, 3 clinicians

Practice addresses (Care Compare)

1310 Wilshire Blvd
Los Angeles, CA 90017-1705
Phone (213) 483-3000

2687 E Pacific CT
Brea, CA 92821-9104
Phone (714) 519-4578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT109353CAMDMarriage & Family Therapist
LMFT141825CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince Mar 23, 2024 Accepting new patients
Special Service for Groups, Inc. CurrentSince Mar 23, 2024 Accepting new patients
Jona Licensed Clinical Social Worker PC Marriage & Family Therapist CurrentSince May 18, 2025 Accepting new patients
Special Service for Groups, Inc. Current Accepting new patients

Locations

1310 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 483-3000

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

600 St Paul Ave
Ste 101
Los Angeles, CA 90017
Phone (213) 483-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECEJBD/Endpoint/ECEJBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1235678244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 NEW YORK AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141843",
            "telephone_number": "818-903-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST",
            "address_2": "411",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205105",
            "telephone_number": "213-365-7400",
            "fax_number": "213-201-3993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 St Paul Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900175660",
            "country_code": "US",
            "telephone_number": "213-483-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KO",
        "first_name": "SARAH",
        "middle_name": "HYAERAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT109353",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT141825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.