Centered Community Foundation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CENTERED COMMUNITY FOUNDATION

Practice address

2716 S Vermont Ave Ste 9
Los Angeles, CA 90007-2594

Phone

(310) 489-5322

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Kathryn Bryan

Title

Executive Director

Phone

(310) 489-5322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1497407969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 S VERMONT AVE STE 9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 S VERMONT AVE STE 9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072594",
            "telephone_number": "310-489-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED COMMUNITY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-489-5322"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.