Active NPI
Valorie Zagelbaum, MFT
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1285803676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 501 S Fairfax Ave Ste 214
Los Angeles, CA 90036-3198 - Phone
- (323) 538-0975
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | MFC27615 | CA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
501 S Fairfax Ave Ste 214
Los Angeles, CA 90036-3198
Mailing address
15336 Devonshire St Unit 6
Mission Hills, CA 91345-2755
Phone (323) 538-0975
Other practice location 1
5301 E. Whittier Blvd.
LoS Angeles, CA 90022
Phone (213) 430-9180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063881894 | Medicaid | CA |
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 |
|---|---|---|---|
| MFC27615 | CA | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Integrated Care Marriage and Family Therapy Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Mission Hills, CA
- NPI 1063881894
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1285803676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15336 DEVONSHIRE ST UNIT 6",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452755",
"telephone_number": "323-538-0975",
"fax_number": "818-484-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S FAIRFAX AVE STE 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363198",
"telephone_number": "323-538-0975"
}
],
"practiceLocations": [
{
"address_1": "5301 E. Whittier Blvd.",
"address_purpose": "LOCATION",
"city": "LoS Angeles",
"state": "CA",
"postal_code": "90022",
"country_code": "US",
"telephone_number": "213-430-9180",
"fax_number": "213-430-9193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAGELBAUM",
"first_name": "VALORIE",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "MFC27615",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063881894",
"state": "CA"
}
],
"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 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.