Organization Active NPI

Lewis Professional Services

Doing business as Inglewood Alcohol and Drug Program

  • Addiction (Substance Use Disorder) Counselor
  • Inglewood, CA
National Provider Identifier
1750369039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19-041-01-100 Issued in CA
Legal business name
LEWIS PROFESSIONAL SERVICES
Doing business as
Inglewood Alcohol and Drug Program
Practice address
400 S la Brea Ave
Suite 202
Inglewood, CA 90301-2339
Phone
(310) 673-5882
Fax
(310) 673-5904
NPI assigned
Jan 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gloria McHenry Lewis
Title
Administrator
Phone
(310) 673-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19-041-01-100 CA Primary

Addresses

Primary practice location

400 S la Brea Ave
Suite 202
Inglewood, CA 90301-2339

Mailing address

400 S la Brea Ave
Suite 202
Inglewood, CA 90301-2339
Phone (310) 673-5882

Other names 1

  • Inglewood Alcohol and Drug Program Doing business as

National Provider Directory

National Provider Directory

Locations

400 S La Brea Ave
Ste 202
Inglewood, CA 90301
Phone (310) 673-5882

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750369039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S LA BREA AVE",
            "address_2": "SUITE 202",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012339",
            "telephone_number": "310-673-5882",
            "fax_number": "310-673-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LA BREA AVE",
            "address_2": "SUITE 202",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012339",
            "telephone_number": "310-673-5882",
            "fax_number": "310-673-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "MCHENRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-673-5882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "19-041-01-100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inglewood Alcohol and Drug Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.