Individual provider Active NPI

Ileana Ramirez, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1316472012
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131676 Issued in CA
Practice address
10444 Santa Monica Blvd Ste 403
Los Angeles, CA 90025-5087
Phone
(424) 234-8205
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 131676 CA Primary

Addresses

Primary practice location

10444 Santa Monica Blvd Ste 403
Los Angeles, CA 90025-5087

Mailing address

10444 Santa Monica Blvd Ste 403
Los Angeles, CA 90025-5087
Phone (424) 234-8205

Other practice location 1

762 Cypress St
San Dimas, CA 91773-3505
Phone (909) 599-1227

Other practice location 2

4164 Brockton Ave
Riverside, CA 92501-3400
Phone (951) 683-5193

Other identifiers 1

IdentifierTypeStateIssuer
4983667OtherCAINSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ileana@constellationtherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023003457 CA Practitioner - Marriage and Family Therapist 8022541416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131676CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents University of California CurrentSince Nov 1, 2024 Accepting new patients
Regents University of California CurrentSince Nov 1, 2024 Accepting new patients

Locations

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2211 Michigan Ave
Santa Monica, CA 90404
Phone (310) 562-1871

1260 15th St
Ste 1501
Santa Monica, CA 90404
Phone (310) 656-1700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1316472012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10444 SANTA MONICA BLVD STE 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255087",
            "telephone_number": "424-234-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10444 SANTA MONICA BLVD STE 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255087",
            "telephone_number": "424-234-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "762 Cypress St",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917733505",
            "country_code": "US",
            "telephone_number": "909-599-1227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4164 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925013400",
            "country_code": "US",
            "telephone_number": "951-683-5193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ILEANA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "4983667",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ileana@constellationtherapy.com",
            "affiliation": "N",
            "endpointDescription": "Ileanaconstellationtherapy.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Na",
            "address_1": "10444 Santa Monica Blvd Ste 403",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900255087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.