Active NPI
Laurie Jean Eaton, MFT
- Marriage & Family Therapist
- El Monte, CA
National Provider Identifier
1609909472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC34240
- Practice address
- 3208 Rosemead Blvd
2ND Floor
El Monte, CA 91731 - Phone
- (626) 227-7014
- Fax
- (626) 227-7015
- NPI assigned
- Mar 13, 2007
- 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 | MFC34240 | CA | Primary |
Addresses
Primary practice location
3208 Rosemead Blvd
2ND Floor
El Monte, CA 91731
Mailing address
6221 Gregory Ave
Whittier, CA 90601
Phone (562) 695-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENK1233 | Other | CA | LOS ANGELES DEPT OF MENTA |
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 |
|---|---|---|---|
| MFC34240 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609909472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6221 GREGORY AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "90601",
"telephone_number": "562-695-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 ROSEMEAD BLVD",
"address_2": "2ND FLOOR",
"city": "EL MONTE",
"state": "CA",
"postal_code": "91731",
"telephone_number": "626-227-7014",
"fax_number": "626-227-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "LAURIE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC34240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOS ANGELES DEPT OF MENTA",
"identifier": "ENK1233",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.