Organization Active NPI

Banaitis Inc.

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1346520459
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 44723 Issued in CA
Legal business name
BANAITIS INC.
Practice address
12100 Wilshire Blvd
Suite 800
Los Angeles, CA 90025-7120
Phone
(310) 775-1521
Fax
(424) 238-8394
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Daniel Joesph Banaitis, M.A., LMFTNPI 1932233954
Title
President/Program Director
Phone
(310) 775-1521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-16-24542 CA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT 47513 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC 44723 CA Primary
Early Intervention Provider Agency 252Y00000X PW5642 CA

Addresses

Primary practice location

12100 Wilshire Blvd
Suite 800
Los Angeles, CA 90025-7120

Mailing address

12100 Wilshire Blvd
Suite 800
Los Angeles, CA 90025-7120
Phone (310) 775-1521

Other identifiers 3

IdentifierTypeStateIssuer
493372OtherMHN PROVIDER ID
A4793432OtherCAAETNA PROVIDER PIN
PW5642OtherCADEPT. OF DEVELOPMENTAL SERVICES (HHS) AGENCY VENDOR NO.

Other names 1

  • Limitless Minds Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1346520459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 WILSHIRE BLVD",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257120",
            "telephone_number": "310-775-1521",
            "fax_number": "424-238-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WILSHIRE BLVD",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257120",
            "telephone_number": "310-775-1521",
            "fax_number": "424-238-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANAITIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "BANAITIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOESPH",
        "authorized_official_title_or_position": "PRESIDENT/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "310-775-1521",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-24542",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 47513",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44723",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "PW5642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER ID",
            "identifier": "493372",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  PROVIDER PIN",
            "identifier": "A4793432",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF DEVELOPMENTAL SERVICES (HHS) AGENCY VENDOR NO.",
            "identifier": "PW5642",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limitless Minds",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Limitless Minds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2020; 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.