Active NPI
Judith Anne Dagley Flaherty, LMFT
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1235807918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFT33885
- Practice address
- 3235 Sawtelle Boulevard
Unit 7
Los Angeles, CA 90066-1683 - Phone
- (310) 995-6767
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT33885 | CA | Primary |
Addresses
Primary practice location
3235 Sawtelle Boulevard
Unit 7
Los Angeles, CA 90066-1683
Mailing address
3235 Sawtelle Boulevard
Unit 7
Los Angeles, CA 90066-1683
Phone (310) 995-6767
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | office |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT33885 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1235807918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 SAWTELLE BOULEVARD",
"address_2": "UNIT 7",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661683",
"telephone_number": "310-995-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 SAWTELLE BOULEVARD",
"address_2": "UNIT 7",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661683",
"telephone_number": "310-995-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGLEY FLAHERTY",
"first_name": "JUDITH",
"middle_name": "ANNE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT33885",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "office",
"affiliation": "N",
"address_1": "3235 Sawtelle Boulevard",
"address_2": "Unit 7",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900661683",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.