Active NPI
Lindsay Small
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1396869608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 735 S la Brea Ave
Los Angeles, CA 90036-4208 - Phone
- (323) 934-7739
- Fax
- (323) 934-7752
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
735 S la Brea Ave
Los Angeles, CA 90036-4208
Mailing address
650 N Robertson Blvd
West Hollywood, CA 90069-5022
Phone (310) 358-8727
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Marymount University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2716 S Vermont Ave
Suite 9
Los Angeles, CA 90007-2594
Phone (323) 810-9233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48328 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Individual & Family Counseling Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Gay and Lesbian Social Services Agency, Inc. | Past | Accepting new patients | |
| Gay and Lesbian Adolescent Social Services, Inc. | Past | Accepting new patients | |
| Gay and Lesbian Adolescent Social Services Agency, Inc. | Past | Accepting new patients |
Locations
2716 S Vermont Ave
Ste 9
Los Angeles, CA 90007
Phone (323) 810-9233
Organizations & group practices 4
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.
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1235512088
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1528251691
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1386776037
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1568594174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396869608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N ROBERTSON BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900695022",
"telephone_number": "310-358-8727",
"fax_number": "310-358-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364208",
"telephone_number": "323-934-7739",
"fax_number": "323-934-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.