Active NPI
Summer Lynaya Gaynor, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1477018026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111521
- Practice address
- 150 S Barrington Ave Ste 9
Los Angeles, CA 90049-3315 - Phone
- (805) 390-7110
- NPI assigned
- Feb 7, 2019
- Sex
- Female
- 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 | 111521 | CA | Primary |
Addresses
Primary practice location
150 S Barrington Ave Ste 9
Los Angeles, CA 90049-3315
Mailing address
311 S Ventu Park Rd
Newbury Park, CA 91320-4645
Phone (805) 390-7110
Other names 1
- Summer Lynaya Larson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111521 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1477018026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S VENTU PARK RD",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913204645",
"telephone_number": "805-390-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S BARRINGTON AVE STE 9",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493315",
"telephone_number": "805-390-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYNOR",
"first_name": "SUMMER",
"middle_name": "LYNAYA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-07",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "111521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUMMER",
"last_name": "LARSON",
"middle_name": "LYNAYA",
"code": "1",
"type": "Former 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 Feb 7, 2019; 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.