Active NPI
Sarah Hyaeran Ko, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT141825
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT109353 | CA | MD | Marriage & Family Therapist |
| LMFT141825 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Jona Licensed Clinical Social Worker PC | Marriage & Family Therapist | Current | 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
- 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.
-
- Clinical Social Worker
- Fullerton, CA
- NPI 1932910825
Marriage & Family Therapist
-
- Voluntary or Charitable Agency
- Los Angeles, CA
- NPI 1952442949
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1669503793
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.