Active NPI
Dorise Hebenstreit, AMFT
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1598220535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 87224
- Practice address
- 714 W Olympic Blvd Ste 627
Los Angeles, CA 90015-4135 - Phone
- (213) 761-4246
- NPI assigned
- Feb 4, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 87224 | CA | Primary |
Addresses
Primary practice location
714 W Olympic Blvd Ste 627
Los Angeles, CA 90015-4135
Mailing address
3171 W Olympic Blvd # 114
Los Angeles, CA 90006-2670
Phone (213) 761-4246
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
| License | State | Type | Specialty |
|---|---|---|---|
| 87224 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1598220535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3171 W OLYMPIC BLVD # 114",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062670",
"telephone_number": "213-761-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 W OLYMPIC BLVD STE 627",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900154135",
"telephone_number": "213-761-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBENSTREIT",
"first_name": "DORISE",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "87224",
"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 Oct 19, 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.