Organization Active NPI

Kate M Grogan, Marriage and Family Therapy, a Professional Corporation

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1639947203
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KATE M GROGAN, MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION
Practice address
12011 San Vicente Blvd Ste 408
Los Angeles, CA 90049-4946
Phone
(310) 600-1195
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Kathryn Marie Grogan, LMFTNPI 1043778525
Title
Owner
Phone
(310) 600-1195

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

12011 San Vicente Blvd Ste 408
Los Angeles, CA 90049-4946

Mailing address

521 S Westgate Ave
Los Angeles, CA 90049-4211
Phone (310) 600-1195

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": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1639947203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S WESTGATE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494211",
            "telephone_number": "310-600-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494946",
            "telephone_number": "310-600-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE M GROGAN, MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-600-1195",
        "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 Dec 13, 2023; 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.