Organization Active NPI

Evelyn Co License Marriage and Family Therapist Inc

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1730940115
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EVELYN CO LICENSE MARRIAGE AND FAMILY THERAPIST INC
Practice address
13323 W Washington Blvd Ste 200
Los Angeles, CA 90066-5163
Phone
(800) 803-4584
Fax
(800) 803-4584
NPI assigned
Jan 22, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Ms. Evelyn Co, LMFTNPI 1538286588
Title
Ceo
Phone
(323) 803-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Mental Health Counselor 101YM0800X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

13323 W Washington Blvd Ste 200
Los Angeles, CA 90066-5163

Mailing address

15714 Halldale Ave Apt B
Gardena, CA 90247-3842
Phone (800) 803-4584

National Provider Directory

National Provider Directory

Locations

13323 W Washington Blvd
Ste 200
Los Angeles, CA 90066
Phone (310) 577-9774

3025 Artesia Blvd
Torrance, CA 90504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1730940115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15714 HALLDALE AVE APT B",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473842",
            "telephone_number": "800-803-4584",
            "fax_number": "800-803-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13323 W WASHINGTON BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665163",
            "telephone_number": "800-803-4584",
            "fax_number": "800-803-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN CO LICENSE MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-803-3131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 30, 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.

Verify at the official NPI Registry.