Active NPI
William Bird Casper, MA
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1669567285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NONE REQUIRED
- Practice address
- 11301 Wilshire Blvd.
BLDG. 256 Room 214
Los Angeles, CA 90073 - Phone
- (310) 478-3711
- Fax
- (310) 268-3821
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | NONE REQUIRED | ||
| Mental Health Counselor | 101YM0800X | NONE REQUIRED | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd.
BLDG. 256 Room 214
Los Angeles, CA 90073
Mailing address
11301 Wilshire Blvd.
BLDG. 256. Room 214
Los Angeles, CA 90073
Phone (310) 478-3711
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE REQUIRED | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669567285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD.",
"address_2": "BLDG. 256. ROOM 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90073",
"telephone_number": "310-478-3711",
"fax_number": "310-268-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD.",
"address_2": "BLDG. 256 ROOM 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90073",
"telephone_number": "310-478-3711",
"fax_number": "310-268-3821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPER",
"first_name": "WILLIAM",
"middle_name": "BIRD",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "NONE REQUIRED",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "NONE REQUIRED",
"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 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.