Organization Active NPI

Gwen's House Marriage and Family Therapy, Inc.

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1598343493
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GWEN'S HOUSE MARRIAGE AND FAMILY THERAPY, INC.
Practice address
7190 W Sunset Blvd # 62D
Los Angeles, CA 90046-4415
Phone
(917) 409-7719
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Shanet Dennis, LMFTNPI 1720644768
Title
Therapist
Phone
(917) 409-7719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

7190 W Sunset Blvd # 62D
Los Angeles, CA 90046-4415

Mailing address

10416 Prospector LN
Moreno Valley, CA 92557-4237
Phone (951) 823-4394

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1598343493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 PROSPECTOR LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925574237",
            "telephone_number": "951-823-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 W SUNSET BLVD # 62D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464415",
            "telephone_number": "917-409-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN'S HOUSE MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "SHANET",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "917-409-7719",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 31, 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.