Individual provider Active NPI

Tracey Lee Navrides, LMFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1326393901
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51808 Issued in CA
Practice address
415 N Camden Dr Ste 111
Beverly Hills, CA 90210-4436
Phone
(818) 599-3221
Fax
(818) 279-6365
NPI assigned
Jul 19, 2012
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 51808 CA Primary

Addresses

Primary practice location

415 N Camden Dr Ste 111
Beverly Hills, CA 90210-4436

Mailing address

3030 Fox Spring Rd
Augusta, GA 30909-3020
Phone (818) 599-3221

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
51808CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1326393901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 FOX SPRING RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093020",
            "telephone_number": "818-599-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CAMDEN DR STE 111",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104436",
            "telephone_number": "818-599-3221",
            "fax_number": "818-279-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVRIDES",
        "first_name": "TRACEY",
        "middle_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.