Individual provider Active NPI

Ceccily Bednash, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1487199626
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT118797 Issued in CA
Practice address
4001 Don Tomaso Dr
Apt 1
Los Angeles, CA 90008-5319
Phone
(602) 299-4679
NPI assigned
Dec 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Art Therapist 221700000X
Marriage & Family Therapist 106H00000X LMFT118797 CA Primary

Addresses

Primary practice location

4001 Don Tomaso Dr
Apt 1
Los Angeles, CA 90008-5319

Mailing address

4001 Don Tomaso Dr
Apt 1
Los Angeles, CA 90008-5319
Phone (602) 299-4679

Other practice location 1

1713 E Walnut St
Pasadena, CA 91106-1611
Phone (602) 299-4679

Other practice location 2

787 E Washington Blvd Ste 1
Pasadena, CA 91104-5055
Phone (602) 299-4679

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
LMFT118797CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Wellness Institute Current Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Locations

1713 E Walnut St
Pasadena, CA 91106
Phone (602) 299-4679

Interoperability endpoints

  • Direct secure messaging: ceccilybednash@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1487199626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 DON TOMASO DR",
            "address_2": "APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085319",
            "telephone_number": "602-299-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DON TOMASO DR",
            "address_2": "APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085319",
            "telephone_number": "602-299-4679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911061611",
            "country_code": "US",
            "telephone_number": "602-299-4679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "787 E Washington Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911045055",
            "country_code": "US",
            "telephone_number": "602-299-4679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDNASH",
        "first_name": "CECCILY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT118797",
            "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 Aug 4, 2020; 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.