Active NPI
Elaine Skoulas, AMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1447845813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT112921
- Practice address
- 2001 S Barrington Ave
Los Angeles, CA 90025-5363 - Phone
- (213) 537-6355
- NPI assigned
- Mar 7, 2021
- Sex
- Female
- 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 | AMFT112921 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave
Los Angeles, CA 90025-5363
Mailing address
2052 S Bundy Dr # 1035
Los Angeles, CA 90025-6102
Phone (213) 537-6355
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ElaineSkoulasPsychotherapy@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 8, 2024 through Jul 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT112921 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1447845813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2052 S BUNDY DR # 1035",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256102",
"telephone_number": "213-537-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255363",
"telephone_number": "213-537-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOULAS",
"first_name": "ELAINE",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-07",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT112921",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ElaineSkoulasPsychotherapy@gmail.com",
"affiliation": "N",
"address_1": "2001 S Barrington Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900255363",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 3, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.