Active NPI
Shekinah Glory Family Counseling Services, Inc.
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1245921113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SHEKINAH GLORY FAMILY COUNSELING SERVICES, INC.
- Practice address
- 5176 W Slauson Ave
Los Angeles, CA 90056-1641 - Phone
- (323) 573-5788
- NPI assigned
- May 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa M. Dozier, LMFT
- Title
- Owner
- Phone
- (323) 573-5788
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5176 W Slauson Ave
Los Angeles, CA 90056-1641
Mailing address
5176 W Slauson Ave
Los Angeles, CA 90056-1641
Phone (323) 573-5788
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684454400000",
"number": "1245921113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5176 W SLAUSON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900561641",
"telephone_number": "323-573-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5176 W SLAUSON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900561641",
"telephone_number": "323-573-5788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEKINAH GLORY FAMILY COUNSELING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A",
"authorized_official_last_name": "DOZIER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-573-5788",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 May 19, 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.