Individual provider Active NPI

Lowell Winer, LMFT

  • Marriage & Family Therapist
  • Venice, CA
National Provider Identifier
1730937178
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145703 Issued in CA
Practice address
618 Indiana Ave Apt 4
Venice, CA 90291-3057
Phone
(424) 218-6505
Fax
(310) 388-0537
NPI assigned
May 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 145703 CA Primary

Addresses

Primary practice location

618 Indiana Ave Apt 4
Venice, CA 90291-3057

Mailing address

618 Indiana Ave Apt 4
Venice, CA 90291-3057
Phone (949) 632-2167

Other practice location 1

13101 W Washington Blvd Ste 102
Los Angeles, CA 90066-5171
Phone (424) 218-6505

Other practice location 2

519 N La Cienega Blvd Ste 210
West Hollywood, CA 90048-2007
Phone (424) 218-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 5, 2024 through Jul 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
145703CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1730937178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 INDIANA AVE APT 4",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913057",
            "telephone_number": "949-632-2167",
            "fax_number": "310-388-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 INDIANA AVE APT 4",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913057",
            "telephone_number": "424-218-6505",
            "fax_number": "310-388-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 W Washington Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900665171",
            "country_code": "US",
            "telephone_number": "424-218-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 N La Cienega Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900482007",
            "country_code": "US",
            "telephone_number": "424-218-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINER",
        "first_name": "LOWELL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

Verify at the official NPI Registry.