Active NPI
Kulsum Wasi
- Professional Counselor
- El Segundo, CA
National Provider Identifier
1629836374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20801
- Practice address
- 100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602 - Phone
- (310) 856-0800
- Fax
- (855) 568-2494
- NPI assigned
- Mar 7, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20801 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Professional Counselor | 101YP2500X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Mailing address
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone (310) 856-0800
Other practice location 1
2121 W Temple St
Los Angeles, CA 90026-4915
Phone (213) 385-5100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1629836374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N PACIFIC COAST HWY STE 1400",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455602",
"telephone_number": "310-856-0800",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N PACIFIC COAST HWY STE 1400",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455602",
"telephone_number": "310-856-0800",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [
{
"address_1": "2121 W Temple St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264915",
"country_code": "US",
"telephone_number": "213-385-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASI",
"first_name": "KULSUM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "20801",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.