Individual provider Active NPI

Angela Churchill Albert, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1588178016
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT100175 Issued in CA
Practice address
663 Lillian Way
Los Angeles, CA 90004-1107
Phone
(323) 356-6940
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LMFT100175 CA Primary

Addresses

Primary practice location

663 Lillian Way
Los Angeles, CA 90004-1107

Mailing address

648 Lillian Way
Los Angeles, CA 90004-1108
Phone (323) 462-6695

Other practice location 1

1516 Westwood Blvd Ste 205
Los Angeles, CA 90024-5617
Phone (323) 356-6940

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

State licenses

LicenseStateTypeSpecialty
LMFT100175CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1588178016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 LILLIAN WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041108",
            "telephone_number": "323-462-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 LILLIAN WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041107",
            "telephone_number": "323-356-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 Westwood Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245617",
            "country_code": "US",
            "telephone_number": "323-356-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "ANGELA",
        "middle_name": "CHURCHILL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT100175",
            "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 Mar 17, 2018; 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.