Miven Booth Trageser, LMFT, LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49725 Issued in CA

Practice address

6310 San Vicente Blvd.
Suite 415
Los Angeles, CA 90048-5426

Phone

(310) 284-3600

NPI assigned

Apr 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Miven Trageser, la Child Therapist

  • Professional Counselor
  • Los Angeles, CA
  • NPI 1104330547
  NPD Authorized official

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508157694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD,",
            "address_2": "SUITE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485426",
            "telephone_number": "323-813-8238",
            "fax_number": "310-861-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD.",
            "address_2": "SUITE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485426",
            "telephone_number": "310-284-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAGESER",
        "first_name": "MIVEN",
        "middle_name": "BOOTH",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "1339",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Tracy
• David W Trader, M.D.
• Traditional Chinese Medicine Healing Center
• Mara Trafficante, MS, CCC-SLP
• Jody M. Trager, PH.D.
• Natalie Michelle Trahan
• Asaad Mohamed-Idris Traina
• Denisa Trainor
• Biana Sarah Trakhtenberg, PT, DPT
• Quanita Patrice Tramble, OTR/L

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.