Individual provider Active NPI

Isabelle Lucy Reitz

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1528899762
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT148064 Issued in CA
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

Updated by the provider on Aug 9, 2024

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 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

LicenseStateTypeSpecialty
AMFT148064CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Family Therapy Services Inc. CurrentSince Aug 11, 2024 Accepting new patients
Alliance Mental Health Marriage & Family Therapist PastSince Aug 11, 2024 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.

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.

Verify at the official NPI Registry.