Vincent Staraci, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC36155 Issued in CA

Practice address

1008 11TH St Ste 301
Santa Monica, CA 90403-4107

Phone

(310) 458-9500

NPI assigned

Jun 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1548820111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 11TH ST STE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034107",
            "telephone_number": "310-458-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 11TH ST STE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034107",
            "telephone_number": "310-458-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARACI",
        "first_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC36155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hosannacounseling.org",
            "affiliation": "N",
            "address_1": "1008 11th St Ste 301",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904034107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hosannacounseling.org",
            "affiliation": "N",
            "address_1": "1008 11th St Ste 301",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904034107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stanley Brosman Medical Corporation
• Stanton G. Axline M.D. a Medical Corporation
• Moriah Stapf
• Amanda Star, DC
• Susan Staraci, M.A., LMFT
• Barbara Pearl Stark, PSY.D.
• Mary Patricia Starks, MA, RC
• Starr Child Foundation
• Starrchild Foundation
• Start Now Health, Inc.

• Mental Health Counselor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.