Active NPI
Laurel Lippert, PH.D.
- Counseling Psychologist
- Los Angeles, CA
National Provider Identifier
1710101761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 19625
- Practice address
- UCLA Student Psychological Services
John Wooden Center West - Box 951556
Los Angeles, CA 90095-0001 - Phone
- (310) 825-0768
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 19625 | CA | Primary |
Addresses
Primary practice location
UCLA Student Psychological Services
John Wooden Center West - Box 951556
Los Angeles, CA 90095-0001
Mailing address
648 N Edinburgh Ave
Los Angeles, CA 90048-2312
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19625 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710101761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 N EDINBURGH AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900482312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCLA STUDENT PSYCHOLOGICAL SERVICES",
"address_2": "JOHN WOODEN CENTER WEST - BOX 951556",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-825-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPERT",
"first_name": "LAUREL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "19625",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.