Individual provider Active NPI

Nicole Nachum, LMFT97582

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1245595974
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT97582 Issued in CA
Practice address
11500 W Olympic Blvd Ste 420
Los Angeles, CA 90064-1564
Phone
(323) 365-2162
NPI assigned
Jul 9, 2012
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT97582 CA Primary

Addresses

Primary practice location

11500 W Olympic Blvd Ste 420
Los Angeles, CA 90064-1564

Mailing address

11500 W Olympic Blvd Ste 420
Los Angeles, CA 90064-1564
Phone (323) 365-2162

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

LicenseStateTypeSpecialty
LMFT97582CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1245595974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641564",
            "telephone_number": "323-365-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641564",
            "telephone_number": "323-365-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHUM",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LMFT97582",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT97582",
            "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 Feb 16, 2017; 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.