Individual provider Active NPI

Marcus Laroy Joseph, MS

  • Professional Counselor
  • Beverly Hills, CA
National Provider Identifier
1558495952
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1643 Issued in CA
Practice address
9171 Wilshire Blvd Ste 500
Beverly Hills, CA 90210-5536
Phone
(424) 274-0447
Fax
(213) 515-6772
NPI assigned
Mar 15, 2007
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1643 CA
Professional Counselor 101YP2500X 1643 CA Primary
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

9171 Wilshire Blvd Ste 500
Beverly Hills, CA 90210-5536

Mailing address

9171 Wilshire Blvd Ste 500
Beverly Hills, CA 90210-5536
Phone (424) 274-0447

Other practice location 1

5849 Crocker St
Los Angeles, CA 90003-1311
Phone (323) 234-4445

Other practice location 2

3200 Motor Ave
Los Angeles, CA 90034-3710
Phone (310) 836-1223

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Child & Family Professional Clinical Counselor Services Professio Professional Current Accepting new patients
Epiphany Counseling, Consulting & Treatment Services, PC Mental Health PastSince Aug 14, 2016 Accepting new patients
Special Service for Groups, Inc. Past Accepting new patients

Locations

433 N Camden Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 226-2928

9171 Wilshire Blvd
Ste 500
Beverly Hills, CA 90210
Phone (310) 331-0058

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1558495952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD STE 500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105536",
            "telephone_number": "424-274-0447",
            "fax_number": "213-515-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD STE 500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105536",
            "telephone_number": "424-274-0447",
            "fax_number": "213-515-6772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5849 Crocker St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900031311",
            "country_code": "US",
            "telephone_number": "323-234-4445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Motor Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900343710",
            "country_code": "US",
            "telephone_number": "310-836-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MARCUS",
        "middle_name": "LAROY",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "1643",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "1643",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.