NPIMap

Organization Active NPI

UCLA Ties for Families

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1720315948
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UCLA TIES FOR FAMILIES
Practice address
1033 Gayley Ave
Suite 204
Los Angeles, CA 90024-3417
Phone
(310) 794-2457
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Audra Langley, PH.D
Title
Director
Phone
(310) 794-2457

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1033 Gayley Ave
Suite 204
Los Angeles, CA 90024-3417

Mailing address

1000 Veteran Ave
Los Angeles, CA 90024-2704
Phone (310) 794-2457

Other identifiers 1

IdentifierTypeStateIssuer
000007446MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Regents of the Univ of Ca56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1033 Gayley Ave
Ste 204
Los Angeles, CA 90024
Phone (310) 794-2457

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1720315948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VETERAN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242704",
            "telephone_number": "310-794-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 GAYLEY AVE",
            "address_2": "SUITE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243417",
            "telephone_number": "310-794-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA TIES FOR FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-794-2457",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000007446",
            "state": "CA"
        }
    ],
    "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 Oct 16, 2014; 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.