Nicole Goren Courtney, LMFT120155

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120155 Issued in CA

Practice address

3921 W Sunset Blvd
2ND Floor
Los Angeles, CA 90029

Phone

(646) 661-1690

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Pauline Goren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1235894361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17631 VENTURA BLVD # 330",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163842",
            "telephone_number": "818-331-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 W SUNSET BLVD",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "646-661-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "NICOLE",
        "middle_name": "GOREN",
        "credential": "LMFT120155",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GOREN",
            "middle_name": "PAULINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kate Marie Coursey
• Courtnay Meletta
• Courtney Ray Mittelmark, D.M.D., M.S.D., a Professional Corp.
• Grant Edward Courtney, LCSW
• Kirsten Michelle Courtney, DC
• Marina Eugenie Coury
• Shanice Cousin
• Lucy Helena Coutinho
• Kristina Couts
• Matthew Couzens

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.