Active NPI
Isabelle Lucy Reitz
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1528899762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT148064
- Practice address
- 2034 Cotner Ave Ste 200
Los Angeles, CA 90025-5664 - Phone
- (818) 335-5200
- NPI assigned
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- No
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 | AMFT148064 | CA | Primary |
Addresses
Primary practice location
2034 Cotner Ave Ste 200
Los Angeles, CA 90025-5664
Mailing address
555 San Antonio Ave
San Diego, CA 92106-3467
Phone (619) 972-0565
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT148064 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Family Therapy Services Inc. | Current | Accepting new patients | |
| Alliance Mental Health | Marriage & Family Therapist | Past | Accepting new patients |
Locations
2034 Cotner Ave
Ste 200
Los Angeles, CA 90025
Phone (818) 335-5200
Organizations & group practices 2
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.
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- Mental Health Counselor
- Los Angeles, CA
- NPI 1457962680
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1194218537
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1528899762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SAN ANTONIO AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921063467",
"telephone_number": "619-972-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2034 COTNER AVE STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255664",
"telephone_number": "818-335-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITZ",
"first_name": "ISABELLE",
"middle_name": "LUCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT148064",
"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 Aug 9, 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.