Individual provider Active NPI

Lisa Cypers Kamen

  • Addiction (Substance Use Disorder) Counselor
  • La Quinta, CA
National Provider Identifier
1518737899
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6139 Issued in CA
Practice address
44670 Marguerite CT
La Quinta, CA 92253-4831
Phone
(310) 273-5300
NPI assigned
Jan 8, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 36446 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 6139 CA Primary

Addresses

Primary practice location

44670 Marguerite CT
La Quinta, CA 92253-4831

Mailing address

14320 Ventura Blvd Ste 639
Sherman Oaks, CA 91423-2717
Phone (310) 273-5300

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
36446NYMDAddiction (Substance Use Disorder) Counselor
6139CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1518737899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14320 VENTURA BLVD STE 639",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232717",
            "telephone_number": "310-273-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44670 MARGUERITE CT",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534831",
            "telephone_number": "310-273-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEN",
        "first_name": "LISA",
        "middle_name": "CYPERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "36446",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "6139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.