Individual provider Active NPI

Lindsay Small

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1396869608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807004314 CA Practitioner - Marriage and Family Therapist 7517465685 Reassigns benefits to 1 organization

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
Centered Individual and Family Counseling IncGroup PAC ID 7416390307, 3 clinicians

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

LicenseStateTypeSpecialty
48328CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Individual & Family Counseling Inc Marriage & Family Therapist CurrentSince Jul 15, 2025 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.

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

Verify at the official NPI Registry.