Individual provider Active NPI

Mary Comlish, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1700330511
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93513 Issued in CA
Practice address
2820 Glendale Blvd # 5
Los Angeles, CA 90039-2723
Phone
(323) 577-3014
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93513 CA Primary

Addresses

Primary practice location

2820 Glendale Blvd # 5
Los Angeles, CA 90039-2723

Mailing address

2820 Glendale Blvd # 5
Los Angeles, CA 90039-2723
Phone (323) 577-3014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 10, 2025 through Dec 10, 2027

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": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1700330511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 GLENDALE BLVD # 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392723",
            "telephone_number": "323-577-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GLENDALE BLVD # 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392723",
            "telephone_number": "323-577-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMLISH",
        "first_name": "MARY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.