Active NPI
Michelle A Newcomb, LMFT #104721
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1265849871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 104721
- Practice address
- 6957 N Figueroa St
Los Angeles, CA 90042 - Phone
- (323) 443-3175
- Fax
- (323) 443-3265
- NPI assigned
- Jul 15, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF75048 | CA | |
| Marriage & Family Therapist | 106H00000X | 104721 | CA | Primary |
Addresses
Primary practice location
6957 N Figueroa St
Los Angeles, CA 90042
Mailing address
6957 N Figueroa St
Los Angeles, CA 90042
Phone (323) 443-3175
Other names 1
- Ms. Michelle A Hajenian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF75048 | CA | MD | Marriage & Family Therapist |
| 104721 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1265849871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6957 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90042",
"telephone_number": "323-443-3175",
"fax_number": "323-443-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6957 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90042",
"telephone_number": "323-443-3175",
"fax_number": "323-443-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMB",
"first_name": "MICHELLE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LMFT #104721",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF75048",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "104721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HAJENIAN",
"middle_name": "A",
"prefix": "MS.",
"credential": "MA, MFTI #IMF75048",
"code": "1",
"type": "Former Name"
}
]
}
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 23, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.