Lisa Crilley Marriage and Family Therapy Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT91239 Issued in CA

Legal business name

LISA CRILLEY MARRIAGE AND FAMILY THERAPY INC

Practice address

864 S. Robertson Blvd.
Suite 210
Los Angeles, CA 90035

Phone

(323) 868-5705

NPI assigned

Sep 6, 2018

Last updated

Sep 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Crilley, LMFTNPI 1528423001

Title

Owner

Phone

(323) 868-5705

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Crilley

  • Marriage & Family Therapist
  • Beverly Hills, CA
  • NPI 1528423001
  Authorized official Same address or phone

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1679055693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 S. ROBERTSON BLVD.",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "323-868-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 S. ROBERTSON BLVD.",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "323-868-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA CRILLEY MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "CRILLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-868-5705",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT91239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Theresa L Lirette
• Lisa Kederian DDS, Inc.
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• Lisa Nguyen DDS Inc
• Lisa Ramos Therapy
• Lisa Ramos Therapy (The Grounded Self)

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.