Individual provider Active NPI

Melanie Handelsman, LMFT

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1669186409
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
136265 Issued in CA
Practice address
142 S Bowling Green Way
Los Angeles, CA 90049-4102
Phone
(310) 383-1040
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 136265 CA Primary

Addresses

Primary practice location

142 S Bowling Green Way
Los Angeles, CA 90049-4102

Mailing address

142 S Bowling Green Way
Los Angeles, CA 90049-4102
Phone (310) 383-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 14, 2024 through Jan 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
136265CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1669186409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S BOWLING GREEN WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494102",
            "telephone_number": "310-383-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S BOWLING GREEN WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494102",
            "telephone_number": "310-383-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDELSMAN",
        "first_name": "MELANIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "136265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.