Active NPI
Paul Gutrecht, M.A., MFT 96168
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1467883538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 96168
- Practice address
- 10780 Santa Monica Blvd Ste 450
Los Angeles, CA 90025-7635 - Phone
- (310) 745-7712
- NPI assigned
- Nov 27, 2013
- Last updated
- Nov 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 96168 | CA | Primary |
Addresses
Primary practice location
10780 Santa Monica Blvd Ste 450
Los Angeles, CA 90025-7635
Mailing address
11664 National Blvd Unit 322
Los Angeles, CA 90064-3802
Phone (310) 745-7712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 15, 2024 through Feb 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96168 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1467883538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11664 NATIONAL BLVD UNIT 322",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643802",
"telephone_number": "310-745-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD STE 450",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257635",
"telephone_number": "310-745-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTRECHT",
"first_name": "PAUL",
"credential": "M.A., MFT 96168",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-27",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "96168",
"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 Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.