Organization Active NPI

Kevin Graves Marriage and Family Therapist Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1679320436
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KEVIN GRAVES MARRIAGE AND FAMILY THERAPIST INC
Practice address
1990 Westwood Blvd Ste 360
Los Angeles, CA 90025-4650
Phone
(805) 409-7219
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Kevin Graves, M.S., LMFTNPI 1821660648
Title
Owner/Ceo
Phone
(805) 409-7219

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1990 Westwood Blvd Ste 360
Los Angeles, CA 90025-4650

Mailing address

812 N Vendome St
Los Angeles, CA 90026-2850
Phone (805) 409-7219

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1679320436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N VENDOME ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262850",
            "telephone_number": "805-409-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD STE 360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254650",
            "telephone_number": "805-409-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN GRAVES MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "805-409-7219",
        "authorized_official_credential": "M.S., LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "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 May 1, 2024; 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.