Organization Active NPI

Testimonial Community Love Center

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1578152179
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TESTIMONIAL COMMUNITY LOVE CENTER
Doing business as
Testimonial Community Love Center
Practice address
5721 S Western Ave
Los Angeles, CA 90062-2714
Phone
(323) 291-6753
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Ms. Zoneke Domino
Title
Admin
Phone
(504) 495-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5721 S Western Ave
Los Angeles, CA 90062-2714

Mailing address

5721 S Western Ave
Los Angeles, CA 90062-2714
Phone (323) 291-6753

Other names 1

  • Testimonial Community Love Center Doing business as

National Provider Directory

National Provider Directory

Locations

5721 S Western Ave
Los Angeles, CA 90062
Phone (323) 291-6753

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1578152179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622714",
            "telephone_number": "323-291-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622714",
            "telephone_number": "323-291-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTIMONIAL COMMUNITY LOVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "DOMINO",
        "authorized_official_first_name": "ZONEKE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "504-495-2551",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Testimonial Community Love Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2021; 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.