Active NPI
Terence Lewis, ACSW
- Mental Health Counselor
- Monrovia, CA
National Provider Identifier
1629493176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW83289
- Practice address
- 902 S Myrtle Ave
Monrovia, CA 91016 - Phone
- (626) 357-3258
- NPI assigned
- Feb 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | ASW83289 | CA | Primary |
Addresses
Primary practice location
902 S Myrtle Ave
Monrovia, CA 91016
Mailing address
902 S Myrtle Ave
Monrovia, CA 91016-3427
Phone (626) 357-3258
Other practice location 1
2121 W Temple St
Los Angeles, CA 90026-4915
Phone (213) 260-7600
Other practice location 2
19401 S Vermont Ave Ste A200
Torrance, CA 90502
Phone (310) 323-6887 ext. 360
Other practice location 3
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 373-2400
Other practice location 4
4401 Crenshaw Blvd Ste 300
Los Angeles, CA 90043-1200
Phone (323) 290-8360 ext. 4261
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 |
|---|---|---|---|
| ASW83289 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1629493176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 S MYRTLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163427",
"telephone_number": "626-357-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S MYRTLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "91016",
"telephone_number": "626-357-3258"
}
],
"practiceLocations": [
{
"address_1": "2121 W Temple St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264915",
"country_code": "US",
"telephone_number": "213-260-7600",
"fax_number": "213-260-7791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19401 S Vermont Ave Ste A200",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "90502",
"country_code": "US",
"telephone_number": "310-323-6887 x360",
"fax_number": "310-323-1570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3031 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900073033",
"country_code": "US",
"telephone_number": "323-373-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4401 Crenshaw Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900431200",
"country_code": "US",
"telephone_number": "323-290-8360 x4261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "TERENCE",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-20",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW83289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.