Monique A Pickens, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

1137 2ND St Ste 211
Santa Monica, CA 90403-5078

Phone

(310) 995-2662

NPI assigned

Apr 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1316633126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 2ND ST STE 211",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035078",
            "telephone_number": "310-995-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 2ND ST STE 211",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035078",
            "telephone_number": "310-995-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1137 2nd St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035078",
            "country_code": "US",
            "telephone_number": "310-995-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "MONIQUE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Assistant Surgical Specialists, Inc.
• Physiotherapy Associates Inc
• Phyzmed Associates Inc
• Phyzmed Associates Inc
• April Maria Picillo, MA
• Karen Pickett, LMFT
• Michael Alexander Piekarski, DPT
• Linda Mary Piera-Avila, P.T.
• Pierce Chiropractic & Sports Injury Center
• Michael Charles Pierce, LMFT

• Lactation Consultant (Non-RN) in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.