Individual provider Active NPI

Gillian Marcus, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1528287208
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42651 Issued in CA
Practice address
822 S Robertson Blvd Ste 303
Los Angeles, CA 90035
Phone
(323) 487-0408
Fax
(610) 514-5982
NPI assigned
Apr 24, 2007
Last updated
May 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2018

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 42651 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd Ste 303
Los Angeles, CA 90035

Mailing address

8736 Rangely Ave
West Hollywood, CA 90048-1715
Phone (310) 560-6555

Other practice location 1

22231 Mulholland Hwy Ste 208
Calabasas, CA 91302-5150
Phone (818) 222-9300

Other identifiers 1

IdentifierTypeStateIssuer
42651OtherCALICENSED MFT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107001339 CA Practitioner - Marriage and Family Therapist 0941734321 Practice locations: West Hollywood, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

519 N la Cienega Blvd
Suite 17
West Hollywood, CA 90048-2007
Phone (323) 487-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42651CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1528287208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 RANGELY AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481715",
            "telephone_number": "310-560-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "323-487-0408",
            "fax_number": "610-514-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22231 Mulholland Hwy Ste 208",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913025150",
            "country_code": "US",
            "telephone_number": "818-222-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "GILLIAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MFT",
            "identifier": "42651",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.