Active NPI
Larry Jermaine Spinks, LMFT
- Marriage & Family Therapist
- Pacoima, CA
National Provider Identifier
1700188018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 87671
- Practice address
- 13557 Van Nuys Blvd
Pacoima, CA 91331-3029 - Phone
- (323) 403-7909
- NPI assigned
- Nov 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 87671 | CA | Primary |
Addresses
Primary practice location
13557 Van Nuys Blvd
Pacoima, CA 91331-3029
Mailing address
13557 Van Nuys Blvd
Pacoima, CA 91331-3029
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87671 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1700188018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13557 VAN NUYS BLVD",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913313029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13557 VAN NUYS BLVD",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913313029",
"telephone_number": "323-403-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINKS",
"first_name": "LARRY",
"middle_name": "JERMAINE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-19",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "87671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.