Individual provider Active NPI

Jordan Bagel, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1497615819
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139833 Issued in CA
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

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.