Individual provider Active NPI

Miriam Theresa Lamb

  • Marriage & Family Therapist
  • North Hollywood, CA
National Provider Identifier
1366832297
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
115161 Issued in CA
Practice address
10900 Blix St Apt 6
North Hollywood, CA 91602-1345
Phone
(818) 967-0414
NPI assigned
Jan 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 115161 CA Primary

Addresses

Primary practice location

10900 Blix St Apt 6
North Hollywood, CA 91602-1345

Mailing address

10900 Blix St Apt 6
North Hollywood, CA 91602-1345
Phone (818) 967-9414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115001745 CA Practitioner - Marriage and Family Therapist 0941652929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - California PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

18652 Florida St
Ste 245
Huntington Beach, CA 92648
Phone (714) 698-3460

4902 Irvine Center Dr
Ste 203
Irvine, CA 92604
Phone (434) 300-3037

116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1366832297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 BLIX ST APT 6",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021345",
            "telephone_number": "818-967-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 BLIX ST APT 6",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021345",
            "telephone_number": "818-967-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "MIRIAM",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.