Individual provider Active NPI

Carmela J Giardina, MFT INTERN

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1427372549
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 61721 Issued in CA
Practice address
1200 Wilshire Blvd Ste 400
Los Angeles, CA 90017-1919
Phone
(213) 416-1164
Fax
(213) 481-7147
NPI assigned
Mar 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF61721 CA
Marriage & Family Therapist 106H00000X IMF 61721 CA Primary

Addresses

Primary practice location

1200 Wilshire Blvd Ste 400
Los Angeles, CA 90017-1919

Mailing address

1200 Wilshire Blvd Ste 400
Los Angeles, CA 90017-1919
Phone (213) 416-1164

Other names 1

  • Camille J Giardina Other name

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

LicenseStateTypeSpecialty
IMF61721CAMDMental Health Counselor
IMF 61721CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1427372549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WILSHIRE BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171919",
            "telephone_number": "213-416-1164",
            "fax_number": "213-481-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WILSHIRE BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171919",
            "telephone_number": "213-416-1164",
            "fax_number": "213-481-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARDINA",
        "first_name": "CARMELA",
        "middle_name": "J",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF61721",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 61721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "GIARDINA",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 12, 2022; 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.