Active NPI
Jordan Bagel, LMFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1497615819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 139833
- Practice address
- 6310 San Vicente Blvd Ste 360
Los Angeles, CA 90048-5448 - Phone
- (770) 490-3550
- NPI assigned
- Nov 17, 2025
- 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 | 139833 | CA | Primary |
Addresses
Primary practice location
6310 San Vicente Blvd Ste 360
Los Angeles, CA 90048-5448
Mailing address
612 N McCadden PL
Los Angeles, CA 90004-1030
Phone (770) 490-3550
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1497615819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 N MCCADDEN PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900041030",
"telephone_number": "770-490-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 SAN VICENTE BLVD STE 360",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485448",
"telephone_number": "770-490-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGEL",
"first_name": "JORDAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "139833",
"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 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.