Individual provider Active NPI

Lisa Daneen Newman

  • Marriage & Family Therapist
  • Hermosa Beach, CA
National Provider Identifier
1316514722
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117194 Issued in CA
Practice address
2615 Pacific Coast Hwy Ste 217
Hermosa Beach, CA 90254-2229
Phone
(310) 218-8758
NPI assigned
Jun 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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 117194 CA Primary

Addresses

Primary practice location

2615 Pacific Coast Hwy Ste 217
Hermosa Beach, CA 90254-2229

Mailing address

13953 Panay Way Apt 421
Marina del Rey, CA 90292-4100
Phone (310) 218-8758

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
117194CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1316514722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13953 PANAY WAY APT 421",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924100",
            "telephone_number": "310-218-8758",
            "fax_number": "424-228-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 217",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542229",
            "telephone_number": "310-218-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "LISA",
        "middle_name": "DANEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.