Active NPI
Teri Ercoli
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1700010048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 11965 Venice Blvd Ste 202
Los Angeles, CA 90066-3954 - Phone
- (310) 266-8178
- NPI assigned
- May 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
11965 Venice Blvd Ste 202
Los Angeles, CA 90066-3954
Mailing address
913 18TH St Apt 4
Santa Monica, CA 90403-3251
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719705600000",
"number": "1700010048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 18TH ST APT 4",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904033251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11965 VENICE BLVD STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663954",
"telephone_number": "310-266-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERCOLI",
"first_name": "TERI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_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 Jun 30, 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.