Active NPI
Liliana Osorio, IMFT
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1376752907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 62622
- Practice address
- 1910 Magnolia Ave
Los Angeles, CA 90007-1220 - Phone
- (213) 342-0100
- Fax
- (213) 342-0200
- NPI assigned
- May 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMFT 44802 | CA | |
| Mental Health Counselor | 101YM0800X | 62622 | CA | Primary |
Addresses
Primary practice location
1910 Magnolia Ave
Los Angeles, CA 90007-1220
Mailing address
1910 Magnolia Ave
Los Angeles, CA 90007-1220
Phone (213) 342-0100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7300 | Medicaid | CA | |
| CBSC877 | Other | CA | LA DMH PROVIDER |
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 |
|---|---|---|---|
| 62622 | CA | MD | Mental Health Counselor |
| IMFT 44802 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1376752907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MAGNOLIA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900071220",
"telephone_number": "213-342-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 MAGNOLIA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900071220",
"telephone_number": "213-342-0100",
"fax_number": "213-342-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSORIO",
"first_name": "LILIANA",
"name_prefix": "Ms.",
"credential": "IMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMFT 44802",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "62622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA DMH PROVIDER",
"identifier": "CBSC877",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 11, 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.