Active NPI
Angela Repetti Miller, MA
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1558811539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 135541
- Practice address
- 3401 Glendale Blvd Unit B
Los Angeles, CA 90039-1814 - Phone
- (424) 209-7703
- NPI assigned
- Oct 13, 2016
- 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 | 135541 | CA | Primary |
Addresses
Primary practice location
3401 Glendale Blvd Unit B
Los Angeles, CA 90039-1814
Mailing address
3401 Glendale Blvd Unit B
Los Angeles, CA 90039-1814
Phone (424) 209-7703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 14, 2024 through Mar 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135541 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1558811539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 GLENDALE BLVD UNIT B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900391814",
"telephone_number": "424-209-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 GLENDALE BLVD UNIT B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900391814",
"telephone_number": "424-209-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANGELA",
"middle_name": "REPETTI",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-13",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "135541",
"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 Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.