Individual provider Active NPI

Jill Dictrow Asars, MA MFT INTERN

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1346677507
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
72052 Issued in CA
Practice address
9550 W Olympic Blvd
Beverly Hills, CA 90212-4200
Phone
(310) 294-7773
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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 72052 CA Primary

Addresses

Primary practice location

9550 W Olympic Blvd
Beverly Hills, CA 90212-4200

Mailing address

9550 W Olympic Blvd
Beverly Hills, CA 90212-4200

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
72052CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1346677507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 W OLYMPIC BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 W OLYMPIC BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124200",
            "telephone_number": "310-294-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICTROW ASARS",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "MA MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "72052",
            "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 Oct 2, 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.

Verify at the official NPI Registry.