Active NPI
Maria J De la Torre, MASTER OF SCIENCE IN
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1346474830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF59540
- Practice address
- 1910 Magnolia Av.
Los Angeles, CA 90007 - Phone
- (213) 342-0100
- Fax
- (213) 342-0200
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 59540 | CA | |
| Rehabilitation Practitioner | 225400000X | 59540 | CA | |
| Mental Health Counselor | 101YM0800X | IMF59540 | CA | Primary |
Addresses
Primary practice location
1910 Magnolia Av.
Los Angeles, CA 90007
Mailing address
1910 Magnolia Av.
Los Angeles, CA 90007
Phone (213) 342-0100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00007782 | Medicaid | CA | |
| IMF59540 | Medicaid | CA |
Other names 1
- Maria Lopez
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 |
|---|---|---|---|
| IMF59540 | CA | MD | Mental Health Counselor |
| 59540 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1346474830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MAGNOLIA AV.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90007",
"telephone_number": "213-342-0100",
"fax_number": "213-342-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 MAGNOLIA AV.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90007",
"telephone_number": "213-342-0100",
"fax_number": "213-342-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA TORRE",
"first_name": "MARIA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MASTER OF SCIENCE IN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "59540",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "59540",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF59540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00007782",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IMF59540",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "LOPEZ",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.