Individual provider Active NPI

Joel Andres, M.F.T.

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1548511355
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49111 Issued in CA
Practice address
9300 Wilshire Blvd Ste 306
Beverly Hills, CA 90212-3200
Phone
(310) 226-2879
NPI assigned
Sep 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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 49111 CA Primary

Addresses

Primary practice location

9300 Wilshire Blvd Ste 306
Beverly Hills, CA 90212-3200

Mailing address

9300 Wilshire Blvd Ste 306
Beverly Hills, CA 90212-3200
Phone (310) 226-2879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 16, 2025 through Sep 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49111CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1548511355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 WILSHIRE BLVD STE 306",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123200",
            "telephone_number": "310-226-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 WILSHIRE BLVD STE 306",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123200",
            "telephone_number": "310-226-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "JOEL",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.