Active NPI
Gabriela Garcia
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1740544618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 93539
- Practice address
- 12099 W Washington Blvd Ste 200
Los Angeles, CA 90066-2622 - Phone
- (310) 428-6469
- Fax
- (213) 342-3410
- NPI assigned
- Jun 26, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW60474 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | 93539 | CA | Primary |
Addresses
Primary practice location
12099 W Washington Blvd Ste 200
Los Angeles, CA 90066-2622
Mailing address
12099 W Washington Blvd Ste 200
Los Angeles, CA 90066-2622
Phone (310) 428-6469
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93539 | CA | MD | Mental Health Counselor |
| ASW60474 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1740544618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12099 W WASHINGTON BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900662622",
"telephone_number": "310-428-6469",
"fax_number": "213-342-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12099 W WASHINGTON BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900662622",
"telephone_number": "310-428-6469",
"fax_number": "213-342-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "GABRIELA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW60474",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "93539",
"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 Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.